Employer treatment authorization form

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

ProHealth Care's Occupational Health Services

262-928-5900

located within ProHealth Medical Group Brookfield Clinic
195 Discovery Drive
Brookfield, WI 53045
ProHealth Care's Occupational Health Services

262-928-5900

located within ProHealth Medical Group Sussex Clinic
N57W24950 N. Corporate Circle
Sussex, WI 53089
ProHealth Care's Occupational Health Services

262-928-5900

located within ProHealth Medical Group Mukwonago Clinic
240 Maple Ave.
Mukwonago, WI 53149
ProHealth Care's Occupational Health Services

262-928-5900

located within ProHealth Medical Group New Berlin Clinic
13900 W. National Ave.
New Berlin, WI 53151
ProHealth Care's Occupational Health Services

262-928-5900

located within ProHealth Medical Group Oconomowoc Clinic
1185 Corporate Center Drive, Suite 150
Oconomowoc, WI 53066
ProHealth Care's Occupational Health Services

262-928-5900

located within ProHealth Medical Group Watertown Clinic
109 Air Park Drive
Watertown, WI 53094

Upcoming events

Dec

12

Friday

Stepping On Fall Prevention Online Workshop

10:00 AM - 12:00 PM

Are you heading for a fall? Like many people, you may not realize you are at risk for being injured by a fall.
Dec

15

Monday

Cancer Caregiver Support Group - In-person

11:00 AM - 12:15 PM

The caregiver support group is an opportunity to share and connect with other people who can relate to your experience.
Dec

15

Monday

In-person Birthing Unit Tour

6:30 PM - 7:15 PM

This complimentary tour is designed to familiarize you with the Birthing Centers at ProHealth Waukesha Memorial and ProHealth Oconomowoc Memorial hospitals.