Forms

  • Health History
    Please print this form and complete prior to being seen for a work related injury or illness.
  • DS Collection
    Please complete this consent form prior to coming into one of our clinics for a urine drug screen collection.  Remember to bring a photo ID with you!

 

  • OSHA Respiratory Questionnaire- Please give to your employees with a sealed envelope. DO NOT read them. Mail them all with your company information to the COMP, LLC clinic of your choice to be read. We will contact you to schedule the additional components that may be needed. Please make sure we have your contact information.https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9783

Updates

Derrick Amato Appointed to 2014 Advisory Panel for State of CT Workers Compensation Commission

State of Connecticut  Workers’ Compensation Commission is pleased to announce...

Physicians Certified to Perform DOT Exams

Our physicians are part of the National Registry of Certified Medical Examiners who are...

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Annoucements

Mar29

Coventry Workers Compensation selects St. Francis Occupational Health to be part of their Outcomes-based Network Program.

Mar28

The Official WCC Medical Protocols, which include the latest revisions on Opioid Management, are now available on the Commission’s website:

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