MEDSource One Authorization & Referral Forms and Injury Posters are now available. Please email us at customerservice@medsource-one.com to have your supply sent to you TODAY!
What is the Authorization & Referral Form? This form can be sent in with your employee or employment candidate at the time of their visit, or you can fax it to our clinic directly at (216) 642-7980. By using this form, you help to clarify the exact services you are requesting, which ultimately helps us provide you with better service.
What is the Injury Poster? Although your injured worker can go to any Ohio BWC certified provider, you want him or her to receive the best in medical care, and you also want them to be treated by a physician who understands work injuries and the needs of your company. By displaying the injury poster in a conspicuous place, you are offering your employees access to physicians who are board certified in occupational medicine and who understand the importance of returning your injured workers to the job safely and as early as possible.