Employer Treatment Authorization Form

To refer an employee for occupational health services at ProHealth Care, call 262-928-5900 to make an appointment and then complete the referral form below.

Reasons for referrals

If your company currently has a relationship with ProHealth Care, you may refer your employee by downloading and completing the Employer Treatment Authorization form (PDF).

If you don't have a current account with Occupational Health Services, please contact Lisa Geracie at 262-928-5912.

Related locations

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Upcoming events

  • Mar
    9
    Monday
    Thriving
    10:00 AM - 12:00 PM
    Thriving, a new program designed to help you manage any appearance-related side effects of your treatment.
  • Mar
    9
    Monday
    Prostate Cancer Support Group
    5:00 PM - 6:30 PM
    Support group for men and their partners who are coping with prostate cancer.
  • Mar
    9
    Monday
    Metabolic and Bariatric Surgery Support Group
    5:30 PM - 6:30 PM
    Join us for peer support, expert guidance, and empowerment in your journey to wellness.

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Employer Portal

Log in to the iSYSTOC employer portal, your resource for test results, work injury reports and more.

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