Corporate Health Services Forms


Company Profile - Establish your company as a Corporate Health Services client and select which Workers' Compensation and Occupational Medicine services you wish to participate in.  If you are already a client, this form can be used to update your information as necessary.

Illicit Substance Testing and Security Certification - Select drug/alcohol screening services and designate reporting procedures



Health History Questionnaire

Quick Reference

Corporate Health Services

Phone 336-713-4666
Fax 336-721-3999

Urgent Care - Clemmons

Phone 336-713-0555

Urgent Care - Mocksville

Phone 336-713-0400

Our Urgent Care clinics are available for Workers Compensation claims, physicals, pre-employment screenings and more.
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Last Updated: 07-14-2016
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.