Medical Access Employer Forms. Here are some forms that we use at Medical Access. The Authorization and Request for Services form should be sent with the employee or faxed to us prior to the employee’s visit.

If you are interested in having Medical Access provide your company occupational medicine services, complete the Company Data Form and fax to: 301-428-3192. Please contact our account manager at 301.428.1070, ext 241 if you have any questions regarding our services or setting-up an account.