• Occupational Health Services Ionia

    Occupational Health Services Ionia

    AUTHORIZATION FOR WORK RELATED INJURY CARE
  • Injury Care Locations and Service Hours

  • Sparrow Occupational Health Services Ionia
    through Sparrow Medical Group Walk-in Care Ionia
    Injury Care Hours: Monday-Saturday* from 8 a.m. to 4:00 p.m.
    550 E. Washington St., First Floor, Ionia MI 48846
    Phone: 616.523.1644 | Fax: 616.523.1643 | Email: SparrowOHS@sparrow.org

     * Please schedule an appointment if the injury occured over 24 hours ago

    * Only same-day emergent injuries can be seen in the Ionia OHS clinic on Saturday.

    * Children are not permitted to be with a parent/guardian during an occupational health visit. They may stay in the waiting room with proper supervision for the duration of the appointment.

     

  • Employee Information:

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  • Injury Information:

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  • Post-Accident Drug and Alcohol Testing

    (Photo Identifaction Required)
  • I request and authorize the above-named employee to receive injury care from Sparrow Health Services.

    I further understand that my company will be financially responsible for any and all authorized services in the event my workers compensation insurance carrier denies the charges for any reason.

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