Employers

EMPLOYER FORMS

 

Occupational Health forms are many times company-specific and if your company has a relationship with Peachtree Immediate Care then we would have those forms on-site already. However, there are also some general, state or federal forms that are applicable to everyone. Some of those are below as downloads. These forms may be printed and filled out prior to arrival; however, we have all of these onsite also.

 

For driver's seeking a DOT physical, please download our "Tips to Preparing for your DOT Physical" below. 

 

 

  Escreen Patient Form 030916.pdf
  PIC New DOT MCSA-5875 Form.pdf
  PIC DOT Tips Handout 121415.pdf
  PIC Treatment Auth Form-Fillable 081518