1.  Submit the below.  Please note if the request is for multiple or single assessments.  

                                   

2.  Each employee will be contacted privately via phone or e mail and be given instructions on photos that are required. 

A  phone call or other virtual interview will be completed to gather medical and work history, as appropriate. 

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3.Review and sign service agreement.

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3.  Report with recommendations will be completed and sent to employee and supervisor or other referral source.  

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4.  A follow up will be completed approx 2 weeks after report is completed to assess status of recommendations.  

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4.  Credit card payment can be made to Ergonomic Office through this website.   Invoice will be provided.  

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