Exam Forms

At the time of your employees scheduled appointment we will hand them all the exam forms they need to successfully complete the visit. However, many patients, for reasons of convenience or in an effort to expedite their visit prefer to complete their portion of the forms before coming to our facility. This is our preference as well.

Links to the most commonly used forms are available below. In filling these out it is important that these be completed thoroughly; if a question is unclear this can be clarified when the employee arrives at Access OmniCare. All personal information provided is protected in compliance with federal and state regulations.

In order to ensure employee safety and prevent identity fraud we ask all new patients provide a picture ID, typically a driver’s license, at their first visit to Access OmniCare.

New Injury

Physical Exam

Drug and Alcohol Screening


Additional Forms for Specific Testing

Release of Records