PHC Documents
- Employer Authorization for Service
- Map to our Locations
- Provider Panel
- After Hours Protocols
- OSHA Recordability
- PHC & Lyft Courtesy Transportation Program
Patient Forms
- Physical Examination Patient Medical History
- Respirator Questionnaire
- DOT Physical Exam Intake Form
- FAA Physical
COVID-19 Forms and Documents
- PHC COVID-19 Medical Monitoring Telehealth Visit Request
- PHC – 14 Day Symptom Tracker for Employees Exposed to COVID-19
- PHC COVID-19 Employee Screening Form
Telehealth Forms and Documents
- PHC Telehealth Patient Visit Authorization (Workplace Injury)
- PHC COVID-19 Medical Monitoring Telehealth Visit Request
- PHC Patient Instructions to be Completed Prior to Telehealth Session
- PHC Patient Instructions to be Completed Prior to Telehealth Session (Spanish)
- PHC Patient Instructions to be Completed Prior to Telehealth Session (Creole)