Authorization Services
Injury Care Associates makes receiving services easy. We accept walk-in as well as scheduled appointments.
Please complete the below Employer Authorization to specify the services you would like Injury Care Associates to perform.
Injury Care Associates accepts Authorizations via the electronic submission below, telephone or you can download a copy of our Employer Authorization Form and fax it to the clinic or have your employee bring it with them to the clinic. If your employee arrives at the clinic without an Employer Authorization, we will contact you to verify the services you need performed to ensure complete and accurate service delivery.
PDF Form- 4 Panel UDS (THC (marijuana), cocaine, opiates, and methamphetamine.) Instant Results
- 5 Panel UDS (THC (marijuana), cocaine, opiates, PCP and methamphetamine.) Most Common
- 7 Panel UDS (THC (marijuana), cocaine, opiates, PCP, barbiturates, benzodiazepines, phencyclidine, and amphetamine.)
- 9 Panel UDS (THC (marijuana), cocaine, opiates, PCP, barbiturates, benzodiazepines, phencyclidine, quaaludes, propoxyphene, and amphetamine.)
- 10 Panel UDS
- Breath Alcohol Screening