Authorization For Treatment
3601 Houma Blvd., Suite 203, Metairie, LA
Monday - Friday, 9 a.m. to 5 p.m.
Physical Exams: Monday - Friday, 9 a.m. to 4 p.m.
Fields marked with an asterisk(*) are required.
Please note: Upon form completion, EJGH will forward your employee’s information to MHM Occupational Medicine. They will be providing any applicable evaluations, treatments, and return to work status letters.