Complete occupational health form solution

Occupational Medical Forms Software

Complete DOT/FMCSA, OSHA, FMLA, OWCP/FECA, and clinic paperwork in one easy-to-use Windows desktop program.

Download Free TrialTry the software before buying. Buy Now — $99

Windows desktop software One-time registration No subscription

Actual Occupational Medical Forms Suite showing the patient and employee form fields, toolbar, and DOT, OSHA and FMLA navigation — Actual Windows software screen · Click to enlarge

Expanded form library

29 forms and workflows in one occupational-health program

The current suite brings the major DOT/FMCSA, OSHA, FMLA and OWCP/FECA workflows into one record-centered desktop application.

DOT / FMCSA

6 forms + NRII reporting

MCSA-5875Medical Examination Report Form
MCSA-5876Medical Examiner's Certificate
MCSA-5870Insulin-Treated Diabetes Mellitus Assessment
MCSA-5871Vision Evaluation Report
MCSA-5872CMV Driver Medical Examination Results Form
MCSA-5895391.41 CMV Driver Medication Form
NRII ReportingNational Registry II reporting workflow

OSHA

4 forms / workflows

Respirator QuestionnaireOSHA respirator medical evaluation questionnaire
OSHA 301Injury and Illness Incident Report
OSHA 300Log of Work-Related Injuries and Illnesses
OSHA 300ASummary of Work-Related Injuries and Illnesses

FMLA

7 Department of Labor forms

WH-380-EEmployee serious health condition certification
WH-380-FFamily member serious health condition certification
WH-381Notice of Eligibility & Rights and Responsibilities
WH-382Designation Notice
WH-384Military Family Leave — Qualifying Exigency
WH-385Military Caregiver Leave — Current Servicemember
WH-385-VMilitary Caregiver Leave — Veteran

OWCP / FECA

7 federal workers' compensation forms

CA-1Notice of Traumatic Injury
CA-2Notice of Occupational Disease
CA-2aNotice of Recurrence
CA-7Claim for Compensation
CA-16Authorization for Examination and/or Treatment
CA-17Duty Status Report
CA-20Attending Physician's Report

Clinic / Employer Forms

4 reusable occupational-health workflows

Occupational ExamGeneral occupational medical examination record
Respirator ClearanceClinic clearance workflow
Hearing / AudiogramHearing and audiogram record
Work StatusWork restrictions and status documentation

Important: Government forms and reporting requirements can change. The software helps prepare, store, validate, preview and print records; any separate agency portal, electronic reporting, certification or retention requirements remain the user's responsibility.

Built for repeat clinic work

Enter shared information once, then move through the forms

The suite is organized around the patient or employee record so staff can reuse common information instead of retyping the same names, addresses, employer details and clinic data on every form.

Record Center

Create, open and manage saved occupational-health records from one place.

Clinic / Employer Defaults

Save reusable clinic and employer details and apply them to new records.

Validation & Packet Builder

Review required information and assemble the forms needed for the visit or workflow.

Preview & Print

Review completed information before printing and keep the saved record available for later corrections or reprints.

Try the complete Occupational Medical Forms Suite

Download the Windows trial and review the expanded form navigation, saved-record workflow and printing tools before purchasing.

Download Free Trial Buy $99