INJURY
STATUS REPORT
|
...OSA prints form, completes and
faxes to Client Company.
Client Company sends with Employee to clinic. |
|
NEW CLIENT FORM |
…Submit the
questionnaire online. This form is the information
required to set-up your company-specific protocol for healthcare
services.
|
NEW CLIENT FORM
Print & Fax back
|
...Client Company to print
questionnaire, completes and
faxes back
to OMC (409-747-9182).
|
|
REQUEST FOR SERVICE
(RFS)
|
...Client Company to complete this form and submit
online when
sending one of your employees for healthcare services.
The clinic will be expecting the patient and thus expedites the process.
|
|
REQUEST FOR SERVICE
(RFS)
Print & Fax back
|
...Client Company to
print form, complete and
fax back to
OMC (409-747-9182). The clinic will be expecting your employee
this will expedite the process. |
