Jan 17, 2025 Medical
by Johnny Amaraneni
Jan 06, 2025 Medical
Oct 01, 2024 Medical
Apr 03, 2024 Medical
Feb 20, 2024 Medical
Pelican Urgent Care strives to provide you with exceptional service to ensure a positive, supportive encounter for you, your loved ones, and your employees.
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Billing Contact:
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Fax:
Email Invoices?
YesNo
Email For Invoices:
Main Contact for Urgent Service Related Questions:
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Services Needed:
DOT-CDLDOT-USSCGNon-DOT RoutineCrane OperatorReturn to Duty
DOT DS (Pelican as MRO)Non-Dot DS (Pelican as MRO)Rapid Screen-5 panelRapid Screen-10 panelDS Collection OnlyDOT Breath AlcoholNon-DOT Breath Alcohol
Lab:
OCC Med Services:
L-SpineChest X-RayAudioPulmonary Function TestAgility TestVision TestEKGTB Skin TestVaccinationsLab Testing
Other:
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Injury Date & Time:*
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Person Authorizing Treatment (Print Name)*:
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Coast Guard PhysicalNon-DOT PhysicalDOT PhysicalWorker’s Comp. InjuryTB Skin TestEKG Immunizations (TDAP, Hep A, Hep B, Tetanus/Diptheria, Flu, etc.)Respirator Clearance Exam with PFTLift TestAudiogramWeigh InChest X-RayWorker’s Comp. InjuryAgility TestLab Testing (CBC, CMP, Urinalysis, LIPID Profile, HIV, etc.)Chest X-RayVision TestL-Spine X-Ray
Other Testing Information:
Type
Non-DOT Urine Drug ScreenDOT Urine Drug ScreenDOT Urine Drug ScreenHair CollectionRapid/Onsite Urine Drug Screen5 Panel10 Panel
Reason
Pre-EmploymentPeriodicRandomFor Cause / SuspicionPost AccidentFollow upReturn to Work
Special Instructions
Life or Limb- Threatening Injuries – Dial 911
Non-Life or Non-Limb- Threatening Injuries – Dial (985) 645-9000
Follow-up care for an injury – Dial (985) 645-9000
