Southtowns

716-712-0670

Northtowns

716-447-6474

Client Companies

Thank you for considering HealthWorks-WNY for your occupational health needs. Please select from the following, print the form and return when completed to our Marketing Department. Fax at 716.877.3027 or email to: pwoeppel@healthworkswny.com

Questions regarding the form, please call 716.712.0670 x 3262

New company client enrollment form - to be completed by new clients only  


Authorization to Permit Examination or Treatment  


iSystoc Agreement - online resulting