About Us
Services
Industrial Triage Program
Why OSMS?
Forms
Signup
On-Site Service Request
Medical Authorization
Careers
Pay Bills
Contact
Employer Portal
Signup
Free Consultation
About Us
Forms
Careers
Pay Bills
Contact
Employer Portal
Signup
Free Consultation
37534 Hwy 30 Suite A
Gonzales, LA 70737
Get Directions
Back
About Us
Services
Industrial Triage Program
Why OSMS?
Back
Forms
Signup
On-Site Service Request
Medical Authorization
Authorization
Home
Authorization
Please complete the form below.
Or...
Print/Download:
Authorization Form (PDF)
Fill out my
online form
.
