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Occupational Medicine Forms
Click to download the PDF files of the forms.
Respirator Medical Clearance
We perform N-95 respirator fit testing and medical clearance to use the respirator. Questions? Call 906.449.1140.
OSHA Respirator Medical Evaluation Questionnaire
Service Account Activation
Service Authorization for Account Activation
Ownership Certfication for Account Activation
Injured Workers
Lisa Smith, FNP-C specializes in work-related injury and illness care, return to work programs and certified medical examiner (DOT) physicals. Lisa Smith sees patients both in Marquette and Escanaba.
Michigan Workers' Disability Compensation Rights and Responsibilities
Workers Compensation Authorization Form
For more information or to make an appointment, please call (906) 449-1140 Marquette or (906) 786-0440, Escanaba.
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