Call Our Coachella Clinic TODAY! (760) 398-0723

COACHELLA:
760-398-0723
RIVERSIDE: 
760-398-0723
COACHELLA:
760-398-0723
RIVERSIDE: 
760-398-0723
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    • Home
    • About Us
    • Employer Services
    • Employee Services
    • MPN Panels
    • COVID TESTING
      • COVID-FLU-Testing
      • Onsite Business-School
    • Locations
      • Coachella CA
    • BLOG

  • Home
  • About Us
  • Employer Services
  • Employee Services
  • MPN Panels
  • COVID TESTING
    • COVID-FLU-Testing
    • Onsite Business-School
  • Locations
    • Coachella CA
  • BLOG

EMPLOYER ACCOUNT PROTOCOL FORM

You may choose to complete the Employer-Account Protocol Form below which when completed will be forwarded to one of our Medical Assistants for Review.

This form is in 3 parts - Please complete ALL PARTS!

If you prefer, you can click on the button below which will open a FILLABLE PDF File - complete this form, print it, and email it to aruiz.ihmg@gmail.com

Click Here to access the Employer account protocol form

Employer Account Protocol Form PART 1

Employer Account Protocol Form

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Industrial Health Medical Group

49305 Grapefruit Boulevard, Coachella, California 92236, United States

(760) 398-0723

Employer Account Protocol Form PART 2

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Industrial Health Medical Group

49305 Grapefruit Boulevard, Coachella, California 92236, United States

(760) 398-0723

Employer Account Protocol Form PART 3

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Industrial Health Medical Group

49305 Grapefruit Boulevard, Coachella, California 92236, United States

(760) 398-0723

  • Home
  • About Us
  • Employer Services
  • Employee Services
  • MPN Panels
  • COVID-FLU-Testing
  • Onsite Business-School
  • Coachella CA
  • BLOG

Industrial Health Medical Group

49305 Grapefruit Boulevard, Coachella, California 92236, United States

(760) 398-0723

Copyright © 2024 Industrial Health Medical Group - All Rights Reserved.

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