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Visit our Virtual Ergonomics Services Page
Request for Ergonomic Screens
  1. These are best for non-complex early intervention or chronic conditions. Our consultants can conduct in person or virtually via telephone or video call (WhatsApp, WebEx, or Zoom phone apps preferred).

    Our consultants call your employees to evaluate their workstation and suggest immediate adjustments for the highest risk conditions. Typically 3 issues (maybe 4) can be addressed. Within 10 business days after the end of a month, we will deliver an aggregated spreadsheet that identifies each employee’s general concerns, and additional recommendations for you to follow-up on, if there are any. Depending on volume, we will either schedule person by person, or provide you an on-line calendar for employees to self-select. Please Note: For those who end up having complex issues, a 2nd virtual appointment may be required.

  2. Please enter your contact information here.
  3. Company(*)
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  4. Your Name(*)
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  5. Your E-mail(*)
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  1. Please enter the employees information below..
  2. Facility Address
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  3. 1. Full Name(*)
    Please type the first employee's full name.
  4. Screening is for(*)
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  5. Assessment should be(*)
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  6. Telephone(*)
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  7. E-mail(*)
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  8. 2. Full Name
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  9. Screening is for
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  10. Assessment should be
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  11. Telephone
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  12. E-mail
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  13. 3. Full Name
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  14. Screening is for
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  15. Assessment should be
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  16. Telephone
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  17. E-mail
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  18. 4. Full Name
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  19. Screening is for
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  20. Assessment should be
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  21. Telephone
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  22. E-mail
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  23. Comments / Additional Information:
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  24. (*)
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  25. If you have entered all requests please Submit. Otherwise please continue to the next page
  1. Please enter the employees information below..
  2. 5. Full Name
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  3. Screening is for
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  4. Assessment should be
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  5. Telephone
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  6. E-mail
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  7. 6. Full Name
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  8. Screening is for
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  9. Assessment should be
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  10. Telephone
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  11. E-mail
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  12. 7. Full Name
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  13. Screening is for
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  14. Assessment should be
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  15. Telephone
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  16. E-mail
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  17. 8.Full Name
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  18. Screening is for
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  19. Assessment should be
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  20. Telephone
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  21. E-mail
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  22. Comments / Additional Information:
    Please enter the facility name and address.