MED7 At Work Forms

• Treatment Authorization Form
  
  This form may be printed and used to direct an injured worker to the nearest MED7 clinic. It has a convenient map, hours of operation and telephone numbers, and a listing of services. MED7 maintains a database of routine services for your company. We realize those services may need to be altered on a case-by-case basis. This form can be used for that purpose. View/print...
   
• Employment Services Form
  
  This form is used to set-up an account for pre-employment services. Once completed, please fax to (916) 483-1937. A representative will contact you shortly. View/print...
   
• Worker's Compensation Form
  
  This form is used to designate MED7 as the facility of choice for your injured workers. Please complete and fax to (916) 483-1937. A representative will contact you shortly. View/print...