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Occupational Health


Occupational Health provides care to all eligible Federal Civilian employees and active duty military personnel working in industrial hazardous positions. Services are directed toward prevention of occupational illness and/or injury, health maintenance and prevention/monitoring of occupational hazards. Programs include medical examinations, reproductive hazard surveillance, hearing and vision conservation, work-site visits, illness/absence monitoring, respiratory protection, employee modified duty, patient education and employee in/out processing.

Forms for Occupational Health Needs:

Individual Reliability Screening and Evaluation FormDD5557.pdfDD5557.pdf

Fort Lee Record of InjuryFtLeeForm-1051-E-RecordofInjury.pdfFtLeeForm-1051-E-RecordofInjury.pdf

Forms for TB Testing:

Initial Entry TB Risk Assessment ToolMEDCOM FORM 829.pdfMEDCOM FORM 829.pdf

Periodic TB Risk Assessment Tool MEDCOM FORM 830.pdfMEDCOM FORM 830.pdf

Health Care Worker TB Risk Assessment ToolMEDCOM FORM 831.pdfMEDCOM FORM 831.pdf

Other Forms:

Respirator Questionnaire Respirator Questionnaire (OSHA 3789) (3).pdfRespirator Questionnaire (OSHA 3789) (3).pdf

Screening Form Adult SCREENING FORM ADULT 2017-2018 (SHOTEX).docxSCREENING FORM ADULT 2017-2018 (SHOTEX).docx

Authorization for Disclosure of Medical or Dental Information  DD2870.pdfDD2870.pdf

Release of Information Authorization for Disclosure of Medical Information (DD2870).pdfAuthorization for Disclosure of Medical Information (DD2870).pdf

Influenza Vaccine Information Statement  VIS2017.pdfVIS2017.pdf

Contact Information​​
Phone: (804) 734-9159
Hours: Mon - Fri: 7:30 a.m. to 4:30 p.m.
Location: 700 24th Street
Fort Lee, Va. 23801


How to Report Work-Related Injuries

The proper steps to report a work-related injury are as follows:

  • Alert supervisor
  • Supervisor completes Fl Form 1051 online
  • Injured employee reports to Occupational Health Clinic, Kenner Army Health Clinic or to a facility of their choice
  • Employee and supervisor complete CA-1 online at


OWCP Online Training for Supervisors