Misc. Forms and Documents

Listed below are more forms and documents you may find helpful:

• AirMedCare Application
• Caregiver Leave Certification Form-Military
• Caregiver_Form_WH-385
• Emp_Med_Cert_Form_WH-380-F
• Employee Request for FMLA Form
• Family_Med_Cert_Form_WH-380-E
• Health Care Provider (Employee)
• Health Care Provider Certification (family)
• HSA Payroll Deduction Form 2022
• Inter-department Transfer
• Inter-department Transfer Form (PDF)
• Leave Form
• Prima Care Location Brochure
• Prima Care Post-Accident drug and alcohol testing-scan
• Prima Care Pre-hire drug screen and physical
• Prima Care Workers Comp Treatment Authorization