The forms below are provided for the convenience of Proof:Positive clients. By accessing this website you agree to the terms of use. If you need assistance with these forms, please contact us.

Job Analysis Form:
For injured employees to provide to physician for approval of participation in Health and Wellness Room program. Click the button to fill out the form or print the blank form.

Health and Wellness Room Participant Form:
After physician approval, employer to provide this completed form to Health and Wellness Room coordinator.

What’s the difference between “fill out form” and “print a blank form“?

  • The “web form” button allows you to fill out the form online, and print it when you’re done (with your legible, typed entries). It also emails you a copy of the form for your records.
  • The “print blank form” link opens a blank version of the form for you to print and fill out by hand.