Occupational Medicine Services: Occupational Medicine Referral Forms
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We work closely with referring employers to ensure that each employee receives the individual care he or she deserves.
Please complete the documents below and email to occhealth@iaspecialty.com.
Employer Injury Authorization Form
Employer Physical Authorization Form
Please complete the form below and email to occhealthintake@iaspecialty.com.
Upon receiving your completed form, a member of our team will reach out to your patient promptly once this information is received. We appreciate the opportunity to provide gastroenterology services to your patient.
