A service of Firelands Regional Medical Center

resources

Current Employer Partner Resources

Below, you can find resources for occupational health services at Corporate Health and additional resources you and your employees may find useful.

Schedule your employee's test

For new employees, or yearly physical, schedule your test with us. Before scheduling your employee's test, please complete the Authorization for Service Request Form. After completing the form, please call our office to schedule an appointment.

Request employee test

Update your list of employees

When you terminate an employee, or an employee leaves your company, please update your list of employees.

Update your employee pool


Additional forms

Company intake form

Fingerprint form

Patient history form

Respirator evaluation questionnaire


Department of Transportation (DOT) forms

DOT insulin-treated diabetes mellitus assessment form (MCSA) 5870

DOT pre-hire letter


Additional resources

Federal Motor Carrier Safety Administration

Clinical Reference Library WebOasis

Occupational Safety and Health Administration (OSHA)

Contact us

To make an appointment or learn more, call 419-557-5052 or email corporatehealth@firelands.com.