Employer Authorization
Send an employee to PrimeCare.
Complete the employer authorization below before sending your employee whenever possible. This helps our Occupational Health team identify the requested services and process the visit efficiently.
Occupational Health Services Authorization Please provide complete employer and employee
information and select the services being authorized.
Secure Form
Questions before submitting?
Call 540-786-1200 or email occhealth@virginiaprimecare.com .