Health Services

Occupational Medicine

We provide a range of occupational health programs to promote the health of employees, medical guidance in health and safety, protection against health hazards, and facilitates medical care for injured or ill employees.
Emergencies
People with head injuries, eye injuries, deep lacerations, or chest pain must go to the nearest emergency room and follow up as required.
 
This facility has no emergency services. For serious work-related injuries, call 911 immediately.
Scheduling Occupational Medical Exams
Shop supervisors or medical representatives should send an Excel spreadsheet with the service member’s name, DOD ID number, and dates of appointment availability listed to Occupational Medicine. Check in with the required forms completed before appointment time (see list below).

Civilian Injuries: If the injury isn’t life threatening, employee should notify their supervisor and get the necessary forms, then call 609-754-9361 during normal duty hours, Monday - Friday, 7:30 - 11 a.m. and 1 - 3 p.m., to make an appointment.

Non-Appropriated Funds Employees
  • LS-1 (Request for Examination and/or Treatment), completed and signed by supervisor
  • LS-201 (Notice of Employee’s Injury or Death)
  • LS-202 (Employer’s First Report of Injury or Occupational Illness)
  • LS-204 (Attending Physician’s Supplementary Report), used for all follow-up appointments
Appropriated Funds Employees
  • CA-1 (Federal Employee’s Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation)
  • CA-20 (Attending Physician’s Report), used for all follow-up appointments
Return to Full Duty or Light Duty
Employee should call 609-754-9361 during normal duty hours, Monday - Friday, 7:30 - 11 a.m. and 1 - 3 p.m., to make an appointment. A note from your primary care provider stating the date you can return to full or light duty (Must list restrictions on note).
Required Forms
Shop supervisors should assist service members and civilian employees to make sure they have required documents for appointments or have completed the necessary electronic questionnaires.
DOD Civilians Working on Joint Base McGuire-Dix-Lakehurst
  • OF 178 (Certificate of Medical Examination) and Memorandum In Lieu of OF-178 Part C/D   
  • OF 8 (Position Description)
Civilian Deployment Physicals
Email a request for an appointment, along with Deployment Acceptance Letter and medical checklist.
Coast Guard OME
Please pick up a blue folder for a baseline, periodic or termination physical, with the correct cover sheet and paperwork, from your chief and complete the following forms: 
  • CG-6010B (Written Opinion)
  • CG-6010C (Summary Report)
  • CG-6010E (Occupational Medical History and Examination Form)
Navy/Marine Corps OME
  • SECNAV 5100/1 (Supervisor's Medical Surveillance and Certification Exam Referral)
  • Block 1: Member’s information
  • Block 2: Supervisor’s and Safety Officer’s information
  • Block 3: Exam Type, Program Name and Number, and Job Title
Occupational Medicine Policy for Appointment No Shows
Due to the high demand for occupational medical exams, the 87th MDG has implemented a broken appointment policy for all members seen in the Occupational Medicine Clinic. A broken appointment results in a significant waste of resources and deprives fellow service members of timely medical qualification exams.
 
A broken appointment is defined as:
  • Not checking in with the receptionist within 10 minutes past the scheduled appointment time.
  • Not showing at all for a scheduled appointment.
  • Cancelling any appointment within 24 hours of the scheduled appointment.
If a broken appointment occurs, 87th MDG leadership will take the following steps:
  • First offense: Member’s first sergeant will be contacted.
  • Second offense: Member’s commander or senior enlisted leader will be contacted.
This policy is not designed to create a hardship for members; it’s intended to reduce wastage of limited resources and ensure all Joint Base McGuire-Dix-Lakehurst personnel are mission-ready and medically qualified to safely perform their duties.
Don't forget to keep your family's information up-to-date in DEERS.