Occupational Health
226 Bluebell Road, Cedar Falls, IA
P: 319-575-5600
F: 319-575-5617
For work-related accident
or illness remember to:
Monday–Friday, 7 a.m.– 6 p.m.
Saturday and Sunday, 10 a.m.–6 p.m.
Thanksgiving/Christmas Hours: 10am - 2pm
Drug Screens:
Monday-Friday 7 a.m.-5 p.m.
Saturday-Sunday 10 a.m.-5 p.m.
Emergent and after hours worker injury treatment
is available at Waterloo Medical Center, Cedar
Falls Medical Center or Oelwein Medical Center
emergency departments. After hour services also
available for worker injury treatment, Urgent Care
at Waterloo Medical Center.
Notify your supervisor
l
Call the clinic and provide:
l
l
l
MercyOne
Bluebell Road
Health Plaza
20
l
20
Company Name
Name of injured or ill
employee
Nature of the injury or
illness
After regular clinic hours, employees are treated at one of the following locations:
EMERGENCY
Waterloo Medical Center
Cedar Falls Medical Center
Oelwein Medical Center
Emergency Department
Emergency Department
Emergency Department
3421 West 9th Street, Waterloo
515 College Street, Cedar Falls
201 8th Avenue SE, Oelwein
319-272-7050
319-268-3090
319-283-6012
Occupational Health/Urgent Care
Bluebell Road Health Plaza
226 Bluebell Road, Cedar Falls
319-575-5600
Monday–Friday, 7 a.m.–8 p.m.
Saturday and Sunday, 10 a.m.–6 p.m.
Drug Screens: Monday-Friday, 7 a.m.–7 p.m.
Saturday and Sunday, 10 a.m.-5 p.m.
Urgent Care
Waterloo Health Plaza
2710 St. Francis Drive, Suite 111, Waterloo
319-272-SICK (7425)
Monday–Friday, 8 a.m.–8 pm.
Saturday and Sunday, 10 a.m.–6 p.m.
Urgent Care and Occupational Health
Oelwein Medical Center
129 8th Avenue SE, Oelwein, IA 50662 l 319-283-6500
Monday-Friday, 8 a.m.–8 p.m.; Saturday and Sunday, 10 a.m.–6 p.m.
Drug Screens: Monday-Friday, 8 a.m.–7 p.m.; Saturday and Sunday, 10 a.m.-5 p.m.
When sending an employee, please call the clinic with the following information or
fill out the information below and send with the patient.
Injury Care for Primary Site:
Name of Company ______________________________________________________________________________
Employee’s Name _______________________________________________________________________________
Nature of Visit ___________________________________________________________________________________
Name of Individual Authorizing Treatment ______________________________ Title __________________
Phone Number of Individual Authorizing Treatment ______________________________________________
Breath Alcohol Test Required? .................................................
Yes
No
DOT Drug Screen Required?....................................................
Yes
No
Name of Individual Authorizing Services
Non-Injury Care Service Authorization:
DOT
Non-DOT
Other
Pre-employment
Pre-employment
5 Panel
Physical
Random
Random
9 Panel
DOT Physical
Reasonable Suspicion
Reasonable Suspicion
Kwik Screen
Back Assessment
Post-Accident
Post-Accident
Audio
Return-to-Duty
Return-to-Duty
TB Screening
Follow-up
Follow-up
Other: ___________