Forms and Brochures

Corporate Health Care

Patient Forms

• Authorization for Treatment Form 
• New Patient Information / Consent Form Packet 
• Injured Patient Information / Workers’ Compensation Packet 
• New Injury Form
• OSHA Respirator Medical Evaluation Questionnaire 
• Patient Survey

Brochures

• Corporate Health Care: Your Partner in Employee Health 
• Information Sheets 
• Work Site Injury Prevention and Rehabilitation
• Wellness and Travel
• Physical Ability Evaluations
• Drug and Alcohol Screening

For More Information

If you have questions, contact Corperate Health Care at 203-749-5720, contact Occupational Health Services, or ask your doctor about Danbury Hospital. 

For a doctor referral call 1-800-516-3658, or search our online Find a Doctor tool to find a doctor near you.