Authorization Form

Ensure your employees receive the right care with clear and specific instructions. Our Authorization Form allows you to:

  • Authorize your employee (patient) to be seen for medical services.

  • Communicate your company’s specific instructions and protocols.

  • Minimize the risk of miscommunication.

  • Provide employees with clear guidance on where to go, what to expect, and next steps.

  • Maintain proper documentation for future verification and HIPAA compliance.

How to Submit an Authorization Form

We offer multiple ways to submit an Authorization Form—choose the option that works best for you:

Submit via Employer Portal (NEW & Reduces Errors) ✅ Recommended

  • Log in to your secure company portal.
  • Access your company-specific MED-1 profiles.
  • Select the required services and submit.

This is the quickest and most accurate way to submit an authorization, reducing errors and ensuring a smooth process.

Print & Bring to MED-1

  • Download the PDF authorization form.
  • Print, complete, and bring it to MED-1.

This method works but requires manual processing.

Submit Online

  • Fill out the PDF authorization form on our website.
  • Submit it securely online.

This option is available but less specific than the Employer Portal.

For the most efficient experience, we recommend using the Employer Portal.

MED-1 Online Reporting

Access important employee medical information quickly and securely through the MED-1 Employer Portal. Our HIPAA-compliant system provides 24/7 online access to:

  • Employee test results
  • Patient reports
  • Medical Visit Reports to Employer
  • Company-wide reports

With our secure, web-based reporting system, you get real-time access to the information you need—anytime, anywhere.

ONLINE REPORTING

Company and Patient Reports

IMPORTANT TOOLS

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One Stop Solution for your Occupational Health Needs

Workplace Injury Care

We offer full workplace injury services including diagnostics, treatment, and rehabilitation. Our staff has experience with the workers’ compensation system.

Occupational Health Care

We perform pre-employment health screenings, annual physicals, as well as specialized physicals to ensure the health and safety of your employees.

MED-1 employee drug testing complies with government regulations, including OSHA and DOT.  We provide pre-employment and random drug tests.

On-site corporate medical services are a convenient and practical option for your company to control costs and keep your operations running smoothly.