1. Image
  2. Adaptive Form Title
  4. General Information
  5. Type of appointment needed
  6. Comments for type of appointment
  7. Injury information
  8. Preferred location
  9. Alternative location (check all that apply)
  10. Preferred appointment date
  11. Preferred appointment time
  12. Please attach any applicable document here
  13. Submit
  14. toEmail
  16. Adaptive Form Title

Occupational Medicine appointments

To schedule an appointment, fill out and submit this form for each appointment needed.

All fields are required unless marked optional.

Please note: If you didn't receive a thank you page after submitting the form, your request did not go through. In that case, please call 1-844-JOB-DOCS. Thank you!

General information

Injury information (optional)

    Thank you for choosing HealthPartners Occupational and Environmental Medicine. It's our pleasure to serve you. Please let us know when and where you'd like an appointment. Our goal is to respond within one-half hour of your request, during business hours. If you have more specific scheduling needs or would like to speak with us about on-site services available to you, please call 1-844-JOB-DOCS. Thank you!

    Preferred location