Get Affinity Occupational Health Employer Authorization Form

Filling out the Affinity Occupational Health Employer Authorization Form online is a straightforward process designed to streamline employee health services. This guide will provide step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to correctly complete your authorization form online.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Complete the 'Employee' section by entering the employee's last name, first name, middle name, and Social Security Number as requested.
3. Fill in the 'Company' section by providing the name of the company, phone number, and the person who authorized the form, including their fax number.
4. In the 'Drug & Alcohol Testing' section, select the appropriate testing authority (Non-DOT or DOT) and type of testing (Drug or Alcohol).
5. Choose the relevant agency from the list of options provided (FAA, FMCSA, FRA, FTA, or USCG) for the testing.
6. Select the testing category that applies, such as Pre-Employment, Reasonable Suspicion, Post-Accident, Return-to-Duty, Random, or Follow-Up.
7. In the 'Medical Services' section, indicate the medical services required by checking the relevant boxes, including Injury Treatment, TB Skin Test, or others as specified.
8. If applicable, ensure to complete any additional details for 'Other' medical services that need to be provided.
9. Review all of the information entered for accuracy before proceeding.
10. Once all sections are completed and verified, save the changes, then download, print, or share the form as needed.

Take the steps to complete your authorization form online today and ensure your employee's health services are managed efficiently.