**AFC Urgent Care - Beaumont

Consent to Treat JL Worley Drug Alcohol Contraband Consent Benzene - OSHA Testing BAT Non-DOT 5-Panel Drug Screen Audiogram (Screening) CBC W/O Diff Audio Employee Extended Questionnaire Blood Pressure Screening CBC With Differential/Platelet (Labcorp) COVID-19 Rapid Antigen OTC Home Test Kit DS DISA Lyondell LaPorte Pre-Placement(Scheduled in Formfox) Driver Fitness Determination (DOT) DS Instant 10 Panel Random 12-Panel Drug Screen DS DISA NASAP ExxonMobil Baytown Pre-Placement (Scheduled in Formfox) Exposure-OSHA Bloodborne Pathogen Entry Hepatitis B Injection Beryllium Informed Consent Lead - OSHA Test Panel MMR Vaccine Hepatitus B Titer Screening Escreen Ishihara Occupational Health Services On Site Services Physical Exam PX Hazwoper Questionnaire - Onsite Medication Letter 8hrs Prior Mumps Vaccine Pulmonary Function Test Respirator Fit Testing (Quantitative) Release of Information - Request Records Periodic/Annual Exam (Special) Cadmium - OSHA Test Panel Specimen Collection Physical TB Read Only UA Dip TDaP Vaccine >7 Im Urine Drug Screen TB Skin Test Interpretation/Reading Influenza Titer Screening Uric A+ANA+RA+ Qn+CRP+ASO + (4 Codes) Varicella Titer Screening Venipuncture/Blood Draw Vision Acuity Vision Screening Release of Information - Release Records to CORE Vision Snellen (Far) Only Cadmium, Urine (Labcorp) Mercury, Urine (Labcorp) Whisper Hearing Test 3M 6000 Half Face Fit Test TB GOLD Quantiferon Test QuantiFERON-TB Gold Plus (Labcorp) Arsenic, Urine (Labcorp) XR B-Reader LA Second Injury Fund 3 Minute Step Test Form BAT DISA DOT DOT Physical Biometric Screening 3M 6000 Half Face Quantitative Fit Test CMP14+LP+4AC (Labcorp) Crystalline Silica Self-Administered Surveillance COVID-19 Antigen Testing DS Instant 12 Panel Form Executive Health Exam Confined Space Entry Certification Exit/Termination Exam (Special) DS DISA Lyondell Channelview Pre-Placement(Scheduled in Formfox) PX Non-DOT DS Instant 10 Panel Pre-Employment Firefighter Medical Evaluation Mumps Titer Screening Non-OSHA Toxicology Testing Chest X-ray (2 view) 10-Panel Drug Screen Urinalysis Periodic/Annual Exam (OSHA) Hearing Conservation Questionnaire Echocardiogram Repeat Audiogram 7-Panel Drug Screen Audiogram GGT (Labcorp) 3M 8293 Dust Mask Quantitative or Qualitative Fit Test Baseline Exam (Special) DS Instant 12 Panel COVID-19 PCR Home Test Kit Bone Density TB Initial New Hire Screening Questionnaire CMP - Complete Metabolic Panel Medical History Lead Test Hemoglobin A1c (Labcorp) Drug Panel - 10 Panel Screening Physician Written Opinion - Bloodborne Pathogens Post Exposure Patient Registration - Consent Form Hepatitis B Vaccine Tetanus Vaccine Physician Written Opinion - OSHA Noise Rapid Drug Screen Baseline Exam (OSHA) Hepatitis A & Hepatitis B Vaccines Crane Operator Exam Glucose Screening Sputum Drug Screen Asbestos Questionnaire Initial Lipid Panel (Labcorp) Influenza Vaccine Laboratory Services Spirometry OSHA Butadiene - Post Exposure Pre-placement/Post Offer Evaluation Tdap Vaccine Cholesterol Screening EKG DS DISA Oral Fluid Collection Lead Standard Profile, Blood (LabCorp) Blood Alcohol Test Stress management CBC With Differential/Platelet (Labcorp)- Do Not Use Onboarding Questionnaire Emergency Services DS Instant 5 Panel Pre-Employment North 7700 Half Face Quantitative Fit Test North 7700 Half Face Fit Test Blood Lead Panel Mariner Physical Return to Work Exam Blood Test Blood Drug Screen CBC - Complete Blood Count Respirator Fit Test Breath Alcohol Test TB screening (IGRA) Crystalline Silica Self-Administered Surveillance Questionnaire Hazardous Waste Worker - OSHA Test Panel COVID-19 Antibody Testing Benzene Test Hearing Protection Fit Testing Methylene Chloride Questionnaire (Old) Vision (Acuity, Peripheral, Depth, Colors of Caution) Chest X-Ray - 2 Views Urinalysis, Complete (Labcorp) Driver Questionnaire Hepatitis A Vaccine PX Functional Assessment Respirator Questionnaire Revie Safety Sensitive Medication Use Review Scott AV 3000 Full Face Quantitative Fit Test Fitness for Duty Evaluation XR Chest, 1 View Specimen Handling For Transfer Other Drug Screen Regulated DOT Drug Screen DS DISA Lyondell Channelview Pre-Placement(Scheduled in Formfox) Hep B Vaccination Consent Questionnaire - Medical Surveillance MMR Titer Screening Rabies Vaccine Questionnaire - Medication Review Xray Spine Lumbar W/Right Bending and W/Left Bending Butadiene Questionnaire Law Enforcement Medical Evaluation 3M 7000 Half Face Fit Test 3M 7000 Half Face Quantitative Fit Test Cadmium Test Chest X-Ray - PA Review Treating Provider Doc TB Skin Test (Mantoux/PPD) Administration Medical Review Officer (MRO) Services Td/Tdap Consent/Declination Form Review Beryllium Consent Form Authorization for Crystalline Silica Opinion to Employer Rubella Titer Screening DOT Physical Tdap Titer Screening Respirator Clearance PWO Electrocardiography (EKG) Exit/Termination Exam (OSHA) Case Management - Nurse DS DISA NASAP ExxonMobil Baytown Pre-Placement (Scheduled in Formfox) CORE Health History Questionnaire Hazmat Physical Imaging Hair Follicle Drug Screen Return-to-Work Evaluation Blood Borne Pathogen Training Rubella Vaccine Xray Chest PA W/B Read for Be Written Opinion - Respiratory Protection or Approval Medication Letter DS DISA Hair Collect Lipid Panel With LDL/HDL Ratio (Labcorp) EMT Physical DS DISA DAC-1 Pre-Placement (Scheduled in Formfox) Measles Titer Screening MRI BAT DISA Non-Dot HIV Antibody Comp. Metabolic Panel (14) (Labcorp) Urinalysis-Dipstick Vision Screening OSHA Formaldehyde Respirator Medical Clearance Exams (including SCBA) 3M 6000 Full Face Fit Test Non-regulated Drug Screen Volvo Patient Registration - Consent Form Respirator Fit Testing (Qualitative) OSHA Respirator Med Questionnaire TB screening (PPD) Tetanus Titer Screening Measles Vaccine Notes Crane Operator Exam Form