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Resources and Forms

  • Authorization For Occupational Health Services (PDF) – An authorization form should be completed to request services when possible. New injuries and emergencies are seen on a walk-in basis. Appointments can be made but aren't required for physical examinations, rechecks and injuries that do not require immediate attention.
  • HanoverWorks Client Survey (PDF)
  • HanoverWorks Employer Survey (PDF)
  • iSYSTOC – Web based management systems that offer clear, concise injury, drug and TB screening, immunization, physicals and scheduling information on your employees treated at any of our facilities.
  • eScreen – Web based management system that allows employers to schedule, track, access and report drug screen and breath alcohol results in an expedient manner. HanoverWork’s can transition employers to this online system without additional expense.
  • UPMC Express Care Newsletter Archive

The Authorization for Occupational Health Services Form, eScreen & i-Systoc link do not apply to our Arlington/Harrisburg location.