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PROCEDURES

When AN EMPLOYEE IS INJURED AT WORK:

ADMINISTRATOR:

EMPLOYEE:

 

WHEN AN EMPLOYEE NEEDS MEDICAL TREATMENT:

ADMINISTRATOR: 

(fill out these typeable forms and give to the employee to take with them)

  • Complete Registration/Treatment Consent through Injury Accident section. The employee MUST take this form to the care, provider when seeking medical treatment.
  • Complete Temporary Prescription ID Card. Employee takes this to a listed Pharmacy if the doctor prescribes a medication when they receive initial treatment.

EMPLOYEE:

  • Get the two forms listed above from your administrator before leaving for treatment.
  • Take the Registration/Treatment Consent form to:
    • 8am-5pm M-F: Report to the Stormont-Vail Work Care, at 1504 SW 8th Ave, Topeka.
    • 5pm-8pm M-F: Report to the Stormont-Vail Express Care, at 2929 S.E. Walnut Drive.
    • Weekends 11am -5pm: Report to Stormont-Vail Express Care, at 2909 S.E. Walnut Drive.
    • If by ambulance or after hours please report to the Stormont-Vail Emergency Room.
  • If you need a prescription filled, take the Temporary Prescription ID Card to one of the pharmacies listed on the back page of the form.

 

WHEN AN EMPLOYEE RETURNS TO WORK:

EMPLOYEE:

  • Present medical release from a medical care provider to your supervising administrator before returning to work.
  • A physician should note any work restrictions on the release.

ADMINISTRATOR:

  • Forward medical release to Matt Hirsch, Central Office.

 

 

 

 

Shawnee Heights USD 450, 4401 SE Shawnee Heights Road, Tecumseh, Kansas, does not discriminate on the basis of sex, religion, color, national origin or ancestry, handicap/disability or age. Persons having inquiries concerning Shawnee Heights USD 450 compliance with Title VI, Title IX, Section 504, Americans With Disabilities Act, and the Age Discrimination Act may contact the Human Resource Director, 4401 SE Shawnee Heights Road, Tecumseh, Kansas 66542, (785) 379-5800. Pre-employment drug testing/criminal record check/child abuse checks are required.
Equal Opportunity Employer

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