Banner Occupational Health – Screening Appointments
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Visits cannot be scheduled online right now.
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Please select an appointment type and provider to see available times
1. Please select appointment type and provider
Select a reason:
Annual Mask Fitting
Flu Vaccine
Hep B
In-person RTW Visit
MMR #2 Vaccine
TB/TSpot Testing
Virtual RTW
Varicella #2 Vaccine
Other
Visit Time is required.
Please select appointment time
<- Earlier Dates
Later Dates ->
Please fill out rest of the information
2. Please fill out rest of the information
Please fill in additional patients.
Patient First Name
Patient Last Name
Email
Cell Phone Number
Date of Birth
Employee ID Number (if Available)
****ONLY WHEN SCHEDULING A RETURN TO WORK VISIT-Please complete the RTW form before scheduling your return to work appointment****
Did you complete the RTW form at https://forms.office.com/Pages/ResponsePage.aspx?id=0tzqra86NUiycx6-incm8SHGIAYOsTRGsxk4_Uv9r9NUQlJXSk41Vk5LSk1LVkNTU0haMk5UNUdEQS4u?
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Yes
No
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We'll send you a text message to remind you of your visit.
minutes before my visit
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