Employee Injury Report

Please see bottom of page for required forms

Employee Health Centers (Use for Employment Related Injuries)

For Carroll and Frederick Counties:

  • UNI Urgent Care- Frederick:
  • Frederick Shopping Center
  • 1305 W. 7th St., Suite 28, Frederick, MD 21702    
  • 301-228-3600
  • UNI Urgent Care- Westminster 1:
  • Phyllis Green Professional Center
  • 826 Washington Rd., Ste. 110-A, Westminster, MD 21157  
  • 410-751-7480
  • UNI Urgent Care- Westminster 2:
  • 140 Village Shopping Center
  • 533 Jermor Lane, Westminster, MD 21157  
  • 443-952-7798  

For Anne Arundel, Baltimore, Howard, Montgomery Counties:

  • Patient First- Aspen Hill:
  • 13671 Georgia Ave., Aspen Hill, MD 20906
  • 240-514-0000
  • Patient First- Bayview:
  • 5100 Eastern Ave., Baltimore, MD
  • 410-814-4500
  • Patient First- Beltsville:
  • 10424 Baltimore Ave., Beltsville, MD 20705
  • 240- 542-5987
  • Patient First- Bowie:
  • 15459 Annapolis Rd., Bowie, MD 20715 
  • 240-544-0676
  • Patient First- Catonsville:
  • 6333 Baltimore National Pike (Rt.40), Catonsville, MD 21228
  • 443-514-1361
  • Patient First- Columbia:
  • 5900 Cedar Lane, Columbia, MD 21044
  • 443-718-4067
  • Patient First- Germantown:
  • 21044 Frederick Rd., Germantown, MD 20876
  • 240-238-5432
  • Patient First- Glen Burnie:
  • 7116 Ritchie Hwy., Glen Burnie, MD 21061
  • 443-577-0277
  • Patient First- Landover Hills:
  • 6201 Annapolis Rd., Landover, MD 20784
  • 301-276-3377
  • Patient First- Lutherville:
  • 10755 Falls Rd., Ste. 160, Lutherville, MD
  • 410-583-2777
  • Patient First- Laurel:
  • 3357 B Corridor Marketplace, Laurel, MD 20724
  • 301-497-1820
  • Patient First- Overton:
  • 1110 Annapolis Rd., Odenton, MD 21113
  • 443-351-3917
  • Patient First- Owings Mills:
  • 10210 Reisterstown Rd., Owings Mills, MD  21117
  • 410-902-6776
  • Patient First- Pasadena:
  • 8105 Ritchie Hwy., Pasadena, MD 21122
  • 443-573-0564
  • Patient First- Perry Hall:
  • 8830 Belair Rd., Baltimore, MD 21236
  • 410-529-9200
  • Patient First-Rockville:
  • 726 Rockville Pike, Rockville, MD 20852
  • 240-238-0411
  • Patient First- Towson:
  • 950 York Road, Towson, MD 21204
  • 410-372-6373
  • Patient First- Silver Spring:
  • 8206 Georgia Ave, Silver Spring, MD 20910
  • 301-960-4682
  • You may wish to call ahead to check on hours and days of operation

Employee Injury Report

Please identify a witness to the injury below:

Please identify your supervisor for this client below:

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