Occupational Medicine provides medical response plans and specific clinical services for UW–Madison employees, students in designated courses, and affiliates based on eligibility.
Instructions for Occupational Medicine Questionnaires and Privacy Notice and Release of Information forms are located at the bottom of this page.
Services
- Specific pre- and post-exposures, immunizations, clinical laboratory tests, regulatory reviews and medical clearances
- Help employees find providers for routine workplace services not offered at UHS: urgent and emergency care, musculoskeletal injuries, fitness for duty
Appointments
- Schedule your appointment at 608-265-5610
- Check in at 333 East Campus Mall on the 6th floor Green Clinic reception area
- If this is regarding a work-related exposure, see Worker’s Compensation requirements and act within 30 days for eligibility
Required Forms
- One-time “Privacy Notice and Consent to Treat” and “Authorization for Release of Occupational Health Records” in MyUHS
- Employee’s Work Injury and Illness Report
Instructions for filling out Occupational Medicine: Privacy Notice and Release of Information
Log on to myUHS : https://myuhs.uhs.wisc.edu
Click on “Medical Clearances” in the left-hand column
Select OCCUPATIONAL MEDICINE: Authorization for Release of Occupational Health Records
Complete and submit
Select OCCUPATIONAL MEDICINE: Privacy Notice and Consent to Treat
Complete and submit
Instructions for filling out Occupational Medicine: Questionnaires and Forms
Log on to myUHS : https://myuhs.uhs.wisc.edu
Click on “Message” in the left-hand column
Click on “New Message”
Select Questionnaires & Forms
Select Occupational Medicine (ACRQ, RMEQ, SPLAAAF, Tb etc)
Select the questionnaire you need to complete from the list.
Complete form and submit