Employee Occupational Health Services

Important Forms

• Animal Contact Form (form format) :: Word | pdf
• Drug Testing Map :: pdf
• Employee History Form :: pdf
• Employee Physical Form :: pdf
• First Report of Accident WCA E1.1 :: pdf
• Hearing Form :: pdf
• Hepatitis B Declination :: pdf
• 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

 

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• Important Forms
• Center for Occupational and Environmental Health Promotion
• UNM Links
• Employee Health Promotion Program
• Safety Health Enviromental Affairs
• UNM Internal Medicine

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