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Please fill out the following questionnaire to begin the FREE evaluation of your site. A Safe Site Medical associate will reply back promptly. Thank you.

Comments or questions are welcome.

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Company Name

Name:

1. Are your Workers Compensation Claims higher than expected?

2. Have you ever had a preventable OSHA Recordable?

3. How many workers do you have on site?

4. How close is your site from a Medical Clinic or Hospital?

5. Does your site require substance abuse testing?

6. How did you find out about Safe Site Medical?

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