Search in  
  for   Go!
Occupational Medicine
Services
Certifications & Accreditations
Managerial Staff
Maps & Directions
Online Forms
Contact Us
Spotlight On...



              Online Forms

Company Profile Form

The Company Profile form provides a convenient way to add your company to the Occupational Medicine database and establish a set of preferences and protocols for your employees' care.  Please email your completed form to patty.stovall@hcahealthcare.com or fax it to (940) 384-4726 to get started!

Authorization Form

Please complete this form for each employee sent to Occupational Medicine.  This form states what services are needed for each employee and confirms that they are authorized to be seen at the clinic.  The form can be accessed online, printed, and sent with the employee to the Occupational Medicine clinic.


3535 S. I-35 E * Denton, TX  76210 * 940-384-3570 phone * 940-384-4726 fax
occmed.drmc@hcahealthcare.com

Denton Regional Medical Center
3535 South Interstate 35
Denton,  TX  76210
Telephone: (940) 384-3535
Copyright © 1999-2010
ehc.com; All rights reserved.
Terms & Conditions of Use
Privacy Statement