Employer Services Authorization Form
This form authorizes Owensboro Health clinicians to provide such medical and/or surgical services as may be necessary to properly care for the injury/illness diagnosed or to perform the service indicated to the named employee for the purpose of medical surveillance or review, any occupational exams or preventive health services, drug and alcohol testing, or other service as defined under occupational medicine. The employer assumes full responsibility for all charges incurred for the services rendered.
Locations
Owensboro Health Occupational Medicine
2211 Mayfair Ave., Suite 102
Owensboro, KY 42301
Monday - Friday, 8 a.m. to 4 p.m.
Call: 270-688-1351
Fax: 270-683-3420
Owensboro Health Regional Hospital
Emergency Services/Post-Incident/Reasonable Suspicion
1201 Pleasant Valley Road
Owensboro, KY 42303
Open 24/7. Call ahead for service after 8 p.m.
Call: 270-417-4338
Owensboro Health Madisonville Healthplex
Occupational Medicine/Urgent Care
510 Ruby Drive
Madisonville, KY 42431
Monday - Friday, 8 a.m. to 8 p.m., Saturday - Sunday, 8 a.m. to 5 p.m.
Call: 270-399-7900
Fax: 270-399-7910
Owensboro Health Occupational Medicine
No Imaging services onsite
27 E. Highway 66
Tell City, IN 47586
Monday - Friday, 7:30 a.m. to 4 p.m.
Call: 812-395-2011
Owensboro Health Henderson Healthplex
1200 Barret Blvd.
Henderson, KY 42420
Monday - Friday, 7 a.m. to 8 p.m., Saturday - Sunday 8 a.m. to 5 p.m.
Call: 270-844-8600
Fax: 270-844-8610
Owensboro Health Muhlenberg Healthplex
2025 W. Everly Brothers Blvd.
Powderly, KY 42367
Monday - Friday, 7 a.m. to 8 p.m., Saturday - Sunday 8 a.m. to 5 p.m.
Call: 270-377-2405
Fax: 270-377-2406
Owensboro Health Twin Lakes Medical Center
Emergency Services/Post-Incident/Reasonable Suspicion
910 Wallace Ave.
Leitchfield, KY 42754
Open 24/7
Call: 270-259-9400
Owensboro Health Urgent Care
No imaging services onsite
1895 Elizabethtown Road
Leitchfield, KY 42754
Monday - Friday, 8 a.m. to 4:30 p.m.
Call: 270-230-0182
Fax: 270-230-1420