Service Request Form
For Companies that have an Employer Account:
Submit an employee authorization / service request online.
Open form โEmployer Portal
Everything you need to send employees quickly, stay compliant, and keep billing simple.
Select what you want to do โ each box takes you to the right place.
For Companies that have an Employer Account:
Submit an employee authorization / service request online.
Open form โPay ahead so employees can walk in with no delays.
Prepay options โFor Companies that have an Employer Account:
Need a collection outside Orlando? Employers with a HealthRoute account can send employees for drug testing at collection sites across the country.
Order now โUpdate your card on file for easy billing and renewals.
Book a visit or view walk-in options for your employee.
Schedule โOne-time setup. Simple employee ordering. Create your employer account once by submitting your company information, selecting the occupational health services you want access to, and securely adding a payment method for future billing.
After your account is established, sending an employee takes only a minute. Before each visit, complete the short Employee Authorization form with the employee's information and requested services.
Get your company set up for billing, paperwork, and employee submissions.
Start setup โSubmit an employee authorization / service request online.
Open form โ4985 Hoffner Ave, Suite 1, Orlando, FL 32812