Inquire about Our Employer Services
Ready to Get Your Team Prepared?
We understand that workplace health requirements can feel confusing or time-sensitive. Our goal is to make the process easier, clearer, and more organized for your team.
No appointment is confirmed until JEMA contacts you directly.
What Happens After You Submit:
01
Use The Form To Send In The Details.
Let us know what your employees need, how many people require appointments, whether there is a deadline, and if your organization would like direct billing.
02
JEMA Reviews
The Form.
Our team will help determine what appointments, vaccines, testing, or documentation may be required..
03
We Contact You to Start Arranging Appointments.
Appointments can be arranged individually or as part of a coordinated workplace request.
This Is an Inquiry Form For Employers, Not a Clinical Intake Form.
Looking for our main appointment booking page? Click Here.
Please do not include any personal/sensitive health information — such as medical conditions, medications, allergies, or vaccine history — in this form.
☝️ This form is not transmitted or stored through a secure health records system and is NOT subject to PHIA protections.
Once your appointment is confirmed, JEMA will collect the clinical information we need through our secure system.
Not Sure Which Service to Select?
Choose the closest option and leave us a note. You can also contact JEMA before submitting if you'd prefer to talk it through first — we're happy to help you figure out the right appointment type before you book.