Patient Forms

 Thank you for choosing High Point Occupational Healthcare Services for your care! 

Please click below to download a patient form.  

CRT FORM (docx)

Download

DOT Checklist of Requirements (docx)

Download

Fit For Duty Form (docx)

Download

HIPAA Form.pdf (docx)

Download

HPOHS Service Request Form (docx)

Download

MD Physical Form (docx)

Download

Occupational Consent Form (docx)

Download

Workers Compensation Sheet (docx)

Download