Submitting your request…
Occupational Health Services

OH Service Request Form

Complete this form to access our expert-led occupational health solution.

Organization & Contact

Tell us about your company and who we should be in touch with.

Please select a client type
Your THCC account number — found on previous invoices or correspondence.
Legal business name is required
9 digits, no spaces or dashes
Registered office address is required
Please select an industry
Primary Contact
Contact name is required
Please enter a valid email
Leave blank if unknown — we will assign one from our team.
Healthcare Provider

This helps us determine the right service pathway for your request.

Please select an option
Healthcare Provider Details
Please select an option

Third-Party Administrator Services

Download, complete, and upload the medical requisition form for each protocol to specify the required tests.

1
Download the requisition form
2
Upload the completed requisition

Once your healthcare provider has completed and signed the forms, upload them here. These documents are required to proceed. We will review them and follow up with the next steps.

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Click to attach or drag and drop completed forms

Please upload the completed requisition form before continuing

Occupational Testing Services

Please specify the occupational testing services you are looking for.

Please select at least one testing service
Drug Testing — Program Details

Great — please answer the DOT question below to determine if a copy is required.

⚠ TELUS Health requires employers to have a workplace drug policy prior to implementing drug testing services.

Please select an option
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Click to attach or drag and drop — PDF or Word

Note: Any non-negative POCT result is always sent to the lab as per our internal best practices.

Alcohol Testing — Program Details

Great — please answer the DOT question below to determine if a copy is required.

⚠ TELUS Health requires employers to have a workplace drug & alcohol policy prior to implementing alcohol testing services.

Please select an option
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Click to attach or drag and drop — PDF or Word

Hearing Testing — Details
Please select a reason for testing
Please enter the number of employees
Vision Testing — Details
Please select a vision standard
Please enter the number of employees
Respirator Fit Testing — Details (CSA Z94.4)
Please select a reason for testing
Please select a fit test method
Please enter the number of employees
Workplace Drug & Alcohol Policy Required

Drug and/or alcohol screening has been selected for one or more positions. A valid Workplace Drug and Alcohol Policy is mandatory to proceed. The policy must address testing procedures, consequences of a positive result, employee rights, and accommodation provisions in compliance with applicable Canadian human rights legislation.

The uploaded policy will apply to all positions for which screening has been requested. If no document is uploaded, drug testing cannot proceed — our team will follow up to assist you in developing or submitting a policy.

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Click to attach or drag and drop
PDF or Word document

Need help developing a policy? Contact us at ohmedteam@telus.com

Role Classification & Assessments

Define each job position that requires an occupational health protocol.

What is a protocol? A protocol is a customized medical evaluation specific to one job position. Each distinct position with different physical, environmental, or medical requirements needs its own protocol.

Examples: 3 protocols needed: Warehouse Worker, Forklift Operator, Office Administrator · 1 protocol needed: General Labourer (all performing same tasks)

Enter a number between 1 and 20
Please enter a valid number of positions (1–20)

Travel Health

Provide details about your travel health requirements.

Select all that apply.

Please select at least one service type
Please select a start date
Please select a duration
Please specify at least one destination List each country or region on a separate line.

Who will be travelling? Select all that apply.

Select all that apply.

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Click to attach or drag and drop — PDF or Word

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Click to attach — PDF or Word

Medical Directorship

Provide details about your medical directorship requirements.

Please select a service type
Please select a start date
Please specify the duration
Please specify work locations
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Click to attach or drag and drop — PDF or Word

Select all that apply.

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Click to attach — PDF or Word

On-site Services

Provide details about your onsite medical service requirements.

Please select a service type
Please select a start date
Please specify the duration

Select all that apply.

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Click to attach — PDF or Word

Submission Summary

Review your information before submitting. Click any section to edit.

Delivery & Preferences

How should we deliver results and communicate with you?

How would you like to receive completed medical reports?

Please select a delivery method
Please enter a valid email address

Please provide the contact details of the person who should receive the results.

Please enter the recipient's full name
Please enter a valid email address

Submitter Information

Who is completing this form on behalf of the organization?

Submitter name is required
Please enter a valid email address

A confirmation of your submission will be sent to this address. This may differ from the primary contact listed in Step 1.

Please confirm before submitting
✓

Request Received

Thank you — your Protocol Request Form has been submitted to the THCC Occupational Health team.

Our team will follow up as soon as possible.

REF: —