Occupational Medicine provides medical response plans and specific clinical services for UW–Madison employees, students in designated courses, and affiliates based on eligibility.
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