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Human Resources » Accident/Injury Reports

Accident/Injury Reports

Required Forms:
All employees should be familiar with the steps necessary to seek treatment for injuries occurring at work. When an employee is injured:
  • Employee must report accidents to their immediate supervisor
  • If it is not an emergency, the employee should immediately complete an employee accident/injury report (Click For Employee above)
  • Corporate Connection is open for examinations from 8:00 am - 3:45 pm.. After this time, visit the emergency room at Monroe Promedica Hospital.
  • The INITIAL AUTHORIZATION TO TREAT MUST be taken with you when treatment is needed. Contact Andrea Heiden at 734.497.1954 for a verbal authorization if you are unable to click on the link provided or print the authorization form
  • After treatment, employees should provide a hard copy of the clinic’s activity status report to Andrea Heiden, Wagar Middle School, room 101
  • Corporate Connection will work with our workers’ compensation claim representative to ensure quality of care and approve future visits and prescribed treatments, including physical therapy, diagnostic tests and specialist referrals
  • All paperwork, billing documents, return to work authorizations, and other documents pertinent to a claim should be sent directly to Andrea Heiden
If you have any questions or concerns about these procedures or how workplace injuries are managed, please contact Andrea Heiden, State Reporting/Human Resource Specialist at 734.654.4027 or