Employer Resources

Telemedicine Application

Let us provide your company with exceptional Occupational Medicine care In-Clinic & On-Site.

Start an Account Primary Telemedicine Care

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Business Name

First Name*

Last Name*

Email*

Physical Address

Phone*

Fax

Number Of Employee To Test

Select On Site Service Needed

Your Message

Are You Human ?

8 + 7 =

First Name*

Last Name*

Physical Address

Email*

Phone*

Date of Birth

Gender :

Male

Female

Pharmacy Name & Number

Medical History

Medications including dose

Allergies to medications or foods

Chief complaint today

Preferred Contact Method :

Phone

Facetime Video Chat

Zoom Video Chat

Are You Human ?

8 + 7 =

First Name*

Last Name*

Phone*

Email*

Address

City

How did you hear about us?

Zip

Comments

Are You Human ?

8 + 7 =

First Name*

Last Name*

Email*

Subject*

Company*

# of Drivers*

Phone*

Your Message

Are You Human ?

8 + 7 =

Telemedicine Application

Return-To-Duty Process &TPA

Start an Occupational Medicine Account

In-Clinic Service Request Form

On-Site Service Request

Account Forms & Information

Non-DOT Consortium Enrollment

DOT - FMCSA Consortium Enrollment

DOT - PHMSA Consortium Enrollment

Links For Employers

Telemedicine Care Application

LOHS EMPLOYER PORTAL

DOTD

OSHA

FMCSA

PHMSA

Louisiana Municipal Association

LifeShare Blood Center

Red Cross

Center for Disease Control/NIOSH

Louisiana Dept of Education

National Drug and Alcohol Screening Association

Council for Accreditation in Occupational Hearing Conservation

Mine Health and Safety Administration

Louisiana Workforce Commission

US Department of Transportation

SAMSHA

Louisiana Substance Abuse & Drug Addiction Hotlines

National Institute on Drug Abuse

Office of Behavioral Health – Substance Use and Addictive Disorders Services

National Substance Abuse and Addiction Hotline

988 Lifeline - Suicide & Crisis Lifeline

Let us provide your company with exceptional Occupational Medicine care In-Clinic & On-Site.

Join our DOT Drug & Alcohol Consortiums to stay in DOT compliance.

Occupational Medicine Account Setup

PHMSA Consortium Enrollment

On-Site Service Request

Telemedicine Application

Request A Quote

Employer Resources

On-Site Service
Request