Employer Information

What your employee will need to prepare for their visit:

  • They must bring written authorization from the employer to be treated or provided occupational health services. Failure to provide employer authorization will result in payment in full by the employee. Click here for an authorization form (PDF) External Website Link.
  • Photo I.D.
  • All individuals 17 and under will need parental / guardian consent to be treated. Click here to download the consent form.
  • All individuals 15 and under must be accompanied with a parent/guardian.
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LUTHERAN HEALTH NETWORK
BLUFFTON REGIONAL MEDICAL CENTER | DUKES MEMORIAL HOSPITAL | DUPONT HOSPITAL* | KOSCIUSKO COMMUNITY HOSPITAL*
LUTHERAN HEALTH PHYSICIANS | LUTHERAN HOSPITAL* | MEDSTAT | THE ORTHOPEDIC HOSPITAL* | REDIMED | REHABILITATION HOSPITAL*
ST. JOSEPH HOSPITAL*

*A physician owned hospital.

If you are experiencing a medical emergency, call 911.
Patients are seen in order of severity, therefore, your spot may not be guaranteed. In case of a life-threatening emergency, call 911.
Patient results may vary. Consult your physician about the benefits and risks of any surgical procedure or treatment.