Lift Test Authorization Form eScreen Passport DOT Physical Flu Shot Chest X-Ray Mechanism of Injury Providence Risk TB Skin Test OccMed Work Queue WC New EPS First Report of Injury WC Recheck Quantiferon Gold Non- Subscriber BAT Adjuster to Schedule DWC73 DWC69 OSHA Hair Testing Referred Provider to Schedule Impairment Rating Post Accident Drug Screen Physical Therapy Referral Nurse Case Manager Basic Physical Spirometry/PFT Corporate Remedies Audiogram Subscriber Lift Test Authorization Form eScreen Passport DOT Physical Flu Shot Chest X-Ray Mechanism of Injury Providence Risk TB Skin Test OccMed Work Queue WC New EPS First Report of Injury WC Recheck Quantiferon Gold Non- Subscriber BAT Adjuster to Schedule DWC73 DWC69 OSHA Hair Testing Referred Provider to Schedule Impairment Rating Post Accident Drug Screen Physical Therapy Referral Nurse Case Manager Basic Physical Spirometry/PFT Corporate Remedies Audiogram Subscriber
(Print)
Lift Test
Authorization Form
eScreen Passport
DOT Physical
Flu Shot
Chest X-Ray
Mechanism of Injury
Providence Risk
TB Skin Test
OccMed Work Queue
WC New
EPS
First Report of Injury
WC Recheck
Quantiferon Gold
Non-Subscriber
BAT
Adjuster to Schedule
DWC73
DWC69
OSHA
Hair Testing
Referred Provider to Schedule
Impairment Rating
Post Accident Drug Screen
Physical Therapy Referral
Nurse Case Manager
Basic Physical
Spirometry/PFT
Corporate Remedies
Audiogram
Subscriber
