Client Resources

Memorial Occupational Health strives to expedite our patients' return to work while ensuring they are able to function safely and efficiently. Utilize the following resources and learn what to expect during an appointment, items to bring to appointments and reference materials that share tips on how to maintain a safe and healthy work environment.

Questions? Call us at 217-876-4900 or email

CDC Facial Hairstyles and Filtering Facepiece Respirators
DOT Exam Readiness Questionnaire
Memorial Authorization Form for Treatment
Pre-Employment Medical History Questionnaire
Respirator Medical Evaluation Questionnaire
Workers Compensation Questionnaire