Contact Us
Employee Occupational Health Services
2400 Tucker NE
Family Practice Center Room 232
MSC 10-5550
Albuquerque, NM 87131

Telephone 272-8043

eMail

Clinic Hours
8:00 A.M. - 11:30 A.M.
1:00 P.M. - 4:30 P.M.
Monday - Friday Except UNM Holidays

Employee Occupational Health Services

Important Forms

  • Animal Contact Form (form format) :: Word
  • Drug Testing Map :: pdf
  • Employee History Form :: pdf
  • Employee Physical Form :: Word
  • First Report of Accident WCA E1.1 :: pdf
  • Hearing Form :: Word
  • Tetnus Diptheria Declination :: Word
  • Hepatitis B Declination :: Word
  • Latex Allergy :: Word | pdf
  • N-95 (Medical Providers) :: Word | pdf
  • OSHA Respirator :: Word | pdf
  • TB Wavier (Known Postive) :: Word | pdf
  • Worker's Authorization for Disclosure :: pdf
  • Worker's Authorization for Disclosure (Spanish) :: pdf