Reporting an Incident/Injury
An employee comes to you and states he/she was injured
Kaiser Permante San Jose Medical Center
Occupational Health Center
275 Hospital Parkway, Suite 565
San Jose, CA 95129
After Hours: 408-972-3088
US HealthWorks Medical Group (formerly Pinnacle Urgent Care)
7793 Wren AVenue
Gilroy, CA 95020
US HealthWorks Medical Group San Jose
1893 Monterey Highway, Suite 200
San Jose, CA 95112
You must call the HR Department (201-6015) prior to an employee seeking medical care.
- Report of Employee Incident/Injury completed, faxed to 201-6026 and send original to the Human Resources Department, Attention: Patricia Valenti.
- Complete DWC-1 (if necessary), and fax to 201-6026 and send original to the Human Resources Department Attention: Patricia Valenti.
- By filling out Workers’ Compensation forms, the injury does not automatically become a claim.
Let’s work together to prevent injuries before they happen!