Our Services

CCOM offers employers a new standard of cost-control, convenience, accountability and quality in managing their employee health issues. CCOM offers complete occupational health care at convenient locations.

Post offer screenings help evaluate if an employee has the capacity to accomplish the physical demands of a job. Screening is tailored to specific job functions and company situations. 

CCOM offers all the services needed to implement a drug free workplace program.

Worksite programs and Wellness programs can lead to reduction of work-related injuries, improved health status, enhanced lifestyle behaviors and/or reduction in medical care demand. 

CCOM is pleased to announce the consistent use of the Quality Physicians Outcomes Programs (QPOP) as outlined by DOL Rule 18.

CCOM is the only statewide Occupational Medicine Network currently utilizing a functional outcomes tool (COMT) that allows the Provider to track functional outcomes as well as screen for psychological factors that may affect injury recovery. The measures associated with the QPOP allow our Providers to set and track functional progress (or lack thereof) very clearly over time. A Clinical assessment is completed at every visit, and a QPOP assessment at the prescribed intervals based on DOL guidelines. This allows our Physicians to track progress and responses to various treatments to help us know sooner what is, and what isn’t working. It also identifies patients sooner, that may be in need of counseling support in their to recover from the WC injury. QPOP doesn’t take the place of clinical assessment but it does provide another rich data point that our Physicians can use to make decisions that will help the patient get back to full function and work as soon as possible.

Workers Compensation

CCOM offers employers a new standard of cost-control, convenience, accountability and quality in managing their employee health issues. CCOM offers complete occupational health care at convenient locations throughout Denver, Colorado Springs, Pueblo, Frisco and Durango.

CCOM is committed to working with employers, as a partner to meet their occupational health care needs. We have realized that in order to succeed, we need to offer our partners more than just a clinic to treat their on-the-job injuries. With the support of Centura Health, we have designed a full-service program that is tailored to meet the individual needs of each employer we serve.

Download an assessment and fax it to us.

  • Medical Referrals

    The primary care physician manages any referrals for specialty care. Referrals are made based upon the physician's medical judgment, using the Division of Workers' Compensation guidelines and internal protocols as a guide.

    The primary care physician also directs referrals for physical or occupational therapy. CCOM's working relationship with the Colorado Sports and Spine Centers in Colorado Springs and Centura Centers for Rehabilitation in Pueblo and St. Thomas-More Outpatient Rehabilitation in Cañon City allow us a distinct advantage. Our therapists and the physicians staff their cases on a regular basis to discuss compliance, patient progress, and treatment plans.

    When there is a need for referral, the CCOM Clinical Case Coordinator will monitor the case to orchestrate communication with the primary care physician at the clinic and the employer.

    Download an assessment and fax it to us.

  • Return to Work Status

    Helping employees integrate back into the workplace.
    Experience has taught us that it is in the best interest of an injured employee to return him/her to the work place in a productive capacity as quickly as possible after an injury. Our approach is to outline the physical limitations caused by an injury in order to allow the employer the flexibility to place that employee in an alternative work assignment. We work with employers to help identify modified duty activities for injured workers. Our physicians also tour job sites and make recommendations as to appropriate light duty jobs, upon request.

    Work Conditioning
    Work Hardening Therapy is an important part of any rehabilitation effort. Specialized testing enables us to determine your present Functional Work Capabilities and to develop realistic goals for the future. Through the use of Work Stimulation Activities, the physical demands of any particular job can be reproduced. Performing these tasks in our controlled and supervised Work Therapy Area allows the progressive and safe restoration of strength, endurance and confidence necessary for successful reemployment. CSSC staff will recommend work site modifications when appropriate.

    Job Site Analysis
    Job Site Analysis is a term used to describe having a therapist or if needed a physician visit your workplace for the purpose of analyzing jobs, work sites or categories of jobs from a ergonomic as well as functional perspective.

    Areas assessed can include jobs with frequent injuries such as those associated with heavy lifting, repetition, long -term exposures, burns etc. Job analysis can also take place in regards to modification or adjust of the work environment. For example a specific work station, or stations may need to be adjusted as far as seating, computer keyboards etc.

    Note: Most modifications of office workstations are simple, and cost effective using common sense and adjusting heights of desks, tables and or chairs.

  • Timely & Complete Medical Info

    1. All work-related injuries are treated in a timely manner upon their arrival at CCOM. The Report Status form will note the "time in" and "time out" at the clinic as well as their next scheduled appointment. 
    2. The physician or medical provider is available to the employers authorized representative for discussion by phone after the evaluation. They can discuss physical limitations, work restrictions, diagnosis, and work-relatedness and assist in the assessment of your ability to accommodate the restrictions. 
    3. The physicians and staff that work at CCOM are subjected to a stringent hiring and credentialing process before they are considered for employment. Our physicians are Board Certified, have Level II accreditation, with training and experience in all aspects of occupational medicine. We provide continuing medical education programs to maintain state of the art medical skills.
  • Frequently Asked Questions

    Why should I use Colorado Sports and Spine Centers for rehabilitation?
    When employees of (company) are referred to CSSC for rehab services, they become part of a focused continuum of care. CSSC therapists work closely with the CCOM physicians to facilitate a timely return to work. As a CCOM client, CSSC also provides the added benefit of free quarterly in-services at your request based on your injury frequency and type.

    Aren't all rehab providers the same?
    CSSC stresses prevention, limited visits, and a back to work philosophy from the first day in rehab until your employees return to work. CSSC works hard to understand your business and to know they type of injuries we are likely to encounter - be that back strains from delivery drivers to overuse syndromes from office staff.

    What is the average wait time for a new patient to be scheduled and begin treatment?  What is the average wait time of the appointment to actually being seen?
    Average wait time for a new patient to be scheduled is 24 hours. Walk-in appointments are also available. Average wait time from the time of the appointment, to actually being seen, is approximately 5-7 minutes.

    What are your usual outcomes for anterior cruciate ligament (ACL) repair, medical meniscus repair, carpal tunnel release and back surgery?

    • Diagnosis: ACL Repair/Medial Meniscus Repair | Average Visits: (1-3 Pre-Op)/7.5 visits
    • Diagnosis: Carpal/Cubital Tunnel | Average Visits: 7.0 visits
    • Diagnosis: Back Surgery | Average Visits: 10 (including Pre-Op) visits
    • All diagnosis | Average Visits: 5.5 visits

    What is your philosophy on patients who repeatedly do not show up for appointments or cancel appointments? What is your philosophy on malingering patients?
    The referring physician/company is notified after one no-show visit or two appointment cancellations. If the patient no-shows three or more times, he/she is discharged from our care and the referring physician/company is notified. If a therapist feels that a patient is malingering or has secondary gain issues, the referring physician is contacted by phone and informed of possible malingering or secondary gain concerns.

    What is the scope of your services?  Are these services offered solely on-site or can they be performed off-site as well?
    CSSC offers physical, occupational, industrial, pool, vestibular, neurological, speech, manual (spine) and sports therapy. Other services and programs include: orthotics, splinting, spine care, chronic pain management, continence care, back school, functional capacity evaluations, burn/wound care, post-offer assessments, psychological services and more. Physical, occupational, manual, sports and industrial therapy can be performed in a clinical setting or at on-site locations. Specialty services including chronic pain management, spine care, pool therapy, and burn and wound care are offered at various locations.

    Do you do patient/employer satisfaction surveys?
    CSSC tracks patient satisfaction on an individual patient basis with all results compiled monthly. CSSC's overall patient satisfaction is excellent with 95% of our patients satisfied with the overall care they received.

    How will you communicate patient progress to the referring physician, specialty physician and employer?
    Patient progress will be conveyed to the employer and referring physicians through faxed progress notes every two weeks or prior to each physician visit. If immediate concerns arise we phone the referring physician and/or case manager. All progress notes are sent to the employer as well.

    What is your philosophy regarding (company) and/or its workers compensation carrier taking an aggressive role in the patient's recovery process?
    Aggressive case management is a key part of the patient's recovery process, and one of the cornerstones of CSSC's treatment philosophy. The CSSC staff works closely with the referring physicians, case managers, and employers to facilitate a timely return to work. We also encourage employers/case managers to participate in patient/medical team staffing's.

    How do you resolve conflicts between the employer, the workers' compensation doctor and the rehab provider?
    Communicate. Communicate. Communicate. CSSC strives to maintain a team approach to all patient care. It is CSSC's belief that ongoing patient staffing's, progress notes, and the initial evaluation should leave little room for misunderstanding. Should conflicts arise, the issue is discussed with the referring physician and the employer to try and reach to a common resolution.

    How do you monitor if patients are making progress?
    Patients are re-evaluated each visit to assess progress towards their functional goals. If progress is unsatisfactory, the rehab program is modified and concerns are relayed to the referring physician and employer. Formal reassessments with progress notes are done every two weeks.

    What would be your first steps as our rehab provider?
    A walk through with key therapists from our clinic nearest to (company) would be arranged as soon as possible to assess high-risk areas.

DOT Physicals and Drug Screens

CCOM does DOT Physicals every day at all of our Colorado locations. Our physicians are DOT certified and we can usually get you a same day appointment.

  • DOT Physical Preparation and Information Drivers

    At CCOM we want you to be at your absolute healthiest. Small changes today can make a big difference when it comes time for your DOT Physical. A more healthy you will only lead to passing your DOT physical with ease. DOT laws and regulations have become even more rigid over the past year. In order for you to be prepared for your physical we have outlined a plan so that you can walk in to your next physical full of confidence. Our goal is to keep you safe and on the road. If you have any questions contact CCOM. We’re here to serve you.

  • FAQ's

    Two weeks before the physical
    Get your paperwork in order. Gather any medical reports or documents that might be helpful.

    Diabetic truckers should bring in a copy of the results of their blood-sugar test or hemoglobin AlC - a test that shows the average blood-sugar level over the past three months. You will also need a letter from your Eye Doctor and Primary Care Doctor stating your diabetic eye and physical exams are normal and you are stable and cleared to operate a CMV.

    Drivers with heart problems, particularly those who have had heart attacks, will need a copy of their latest stress test report. Stress tests are required every two years. You will also need to bring a letter from your heart doctor stating you are medically cleared to operate a CMV.

    Truckers with sleep apnea should be prepared with a copy of their latest sleep test results to prove their sleep apnea is under control. If, on exam, the medical provider discovers you are at risk for sleep apnea, you may be required to have a sleep study. You will need to have your primary care physician order this test. You also need to bring a CPAP usage report with at least one month’s worth of data if you use CPAP.

    If you're not sure which reports will be needed, call CCOM beforehand and ask.

    Drivers with unusual or special medical conditions need to be prepared with a copy of their medical records - not just before a physical exam but always. For example, if you have a heart murmur, i.e., an abnormal heart sound, having the papers that explain your condition, along with a note from your doctor stating you are stable and cleared to operate a CMV, and what effect it may have on you makes a big difference in how quickly you pass the physical - or if you pass at all.

    If you have a DOT medical waiver, keep a copy as you will need to show the examiner.

    One week before the physical
    List all the prescription medicines you take, including strength and dosage. If you regularly take over-the counter medications, such as antacids or allergy pills, list them, too.

    If high blood pressure - hypertension - is a problem, consider cutting down on your salt intake the week before the exam. That will help to lower your blood pressure and avoid spikes in this number. Avoid adding salt to your food and especially avoid foods you already know have a high salt content, such as potato chips, pretzels and French fries. In many people (but not all), salt tends to increase blood pressure, which may put you over your target level and above DOT's blood-pressure guideline.

    Cutting back on caffeine and nicotine also can help improve your blood pressure reading. If you take medication for hypertension, make sure you haven't run out and remember to take it as ordered.

    The day of the physical
    Remember to bring all the medical records you've prepared for this day, including the list of medications.

    Don't drink beverages containing caffeine - such as coffee, colas or "energy" drinks - or use tobacco just before your physical. These activities can raise blood pressure.

    Remember to take your blood-pressure medication on schedule. If you have forgotten, most doctors recommend taking it as soon as possible (if in doubt, talk to your doctor). If you're significantly late taking your medication, try to delay or reschedule the exam so it has time to work. If you can't reschedule, be sure to tell the examiner conducting the physical you forgot to take your regular medication.

    If you are sick
    If you are more than a little sick on the day of your physical, try to reschedule rather than risk failing. For example, if you have a full-scale case of the flu with a lot of coughing, fever, chills and all the other miseries that go along with it, ask your boss and/or company to delay the physical for a few days until you feel better. In a situation like this, it helps to have some time left before your old medical card expires.

    If you fail the physical
    If the worst happens and you don't pass the exam, don't give up. Ask CCOM to reschedule you, then ask for a written list of what you will need to do to pass the next attempt. Tackle every issue so that next time, you can sail through the DOT physical.

    If the problem is missing paperwork, call your own doctor and ask to have a needed report or letter faxed to CCOM.

    Finally, always be sure to check with your doctor before making any changes that might affect your health, but remember that the best way to pass the DOT physical is to take the time and make the daily effort to stay healthy. Know that our providers do not make the rules, but they must follow them. Our providers make every effort to certify you as allowed by rules. If you are required to provider further data or information, we understand your frustration and will do everything we can to help you.

Physical & Wellness

Post offer screenings help evaluate if an employee has the capacity to accomplish the physical demands of a job. Appropriate strength tests are used to provide a pairing of the applicant to the occupational requirements of the job. Baseline information for injury management is also determined. Screening is tailored to specific job functions and company situations.

  • Types of Physicals Offered

    • Industrial Physical/Post Offer Physical
      Vital Signs
      Height and Weight
      Review of Work History
      Review of Physical Requirements of Job
      Family History
      Review of Systems
      Partial Urinalysis
    • D.O.T. Physical
      Above Physical Exam
      Whisper Hearing Test
    • Respirator/Asbestos Physical
      Industrial Physical
      Review of Respirator Questionnaire Form
      Pulmonary Function Test
      PortaCount Fit Test - if needed
    • Hazardous Materials Physical/Fire Fighter
      Industrial Physical
      Review of Asbestos Questionnaire Form
      Pulmonary Function Test
      Lab as indicated
      Fit Test - if needed
    • Fit for Duty or Return to Work Physical
      Industrial Physical Exam
      Review of past medical records
      Functional Capacity Testing if indicated
    • Drug Screening
        Post Accident
        Reasonable Suspicion
  • Body Mechanics Assessment and Measurement

    • Baseline Screening. The therapist at CSSC, CCR Rehabilitation Clinics preform this testing. Testing includes review of a brief medical history and lumbar and cervical spine inclinometers.
    • Job Specific Physical Agility Testing. This test includes the medical history review and inclinometer measurements and additionally tests 5-6 job specific essential functions. Recommendations are made to place the employee in the position if they are able to meet the essential physical demands.
    • A Basic medical physical can be performed before, after or in some cases during the previous two types of testing. This can clear the employee medically to complete the "physical portion of the testing.
    • If Drug Testing is a part of the Company policy, that should be completed first.

Drug Testing

With our hospital affiliations, we offer 24 post accident drug and alcohol screening services and state of the art reporting mechanisms. CCOM offices retain the services of two MRO (Medical Review Officers) on staff and through the Centura network of services, offers EAP services including additional training and SAP (Substance Abuse Program) counseling. Our professional and certified collectors are fully trained in DOT (Department of Transportation) Regulations and we support our employers in the event of an audit. CCOM uses only SAMHSA certified labs to process our collections.

Drug screens/breath alcohol services include:

  • Post Offer/Pre-employment
  • Post Accident/Post incident
  • Reasonable Suspicion
  • Return to Work
  • Collection only services

State of the art, on-line results reporting is available using E-Screen.

A variety of options are available to meet your company needs. 

Contact our statewide drug screen program coordinator

Maggie Hirsch: Phone: 719-776-4806 | Email

Types of Drug Testing

  • DOT Screens

    All aspects of urine drug sample collections will be collected according to the collection protocols outlined in CFR Part 40 regulations published by the Department of Transportation (DOT) regulations.  CCOM has been adhering to DOT, Federal Transit Administration (FTA), and Federal Aviation Administration (FAA), and Research and Special Programs Administration (RSPA) since June 1989.

    CCOM utilizes Clinical Reference Laboratory, a SAMSHA certified laboratory in Lenexa , KS , to provide sample analysis.  Testing is performed 24 hours per day, 7 days a week.

    DOT urine specimens are collected, packaged and shipped overnight to Clinical Reference Laboratory and negatives are reported within 24 hours.  Non-negative results are held and additional 24 hours for confirmation.  A confirmed positive result is forwarded to the MRO who will follow the 49CFR40 regulations regarding positive results.

    Certified Drug Testing Laboratories.
    CCOM utilizes Clinical Reference Laboratory, a SAMSHA certified laboratory in Lenexa, KS, to provide sample analysis.  Testing is performed 24 hours per day, 7 days a week.

    Medical Review Officer and any backup MRO.
    CCOM is currently contracted with the following physicians for all MRO services:

    • Steve Kracth, MD - Main MRO
    • George Schwender, MD - Backup MRO

    All positive results of a urine specimen or a breath alcohol test are reviewed by the MRO. The MRO will initiate the process required under 49CFR40 including the timelines and necessary notifications of the donor and employer.  This process is done for both DOT and Non-DOT donors. The MRO will also randomly review a percentage of negative results for quality assurance.

    Mailing time for "Employer Copy" of Chain-of-Custody Form.
    The employer copy is mailed the same day of the collection.

    Notification time of courier for pick-up of specimens.
    Clinical Reference Laboratory contracts with a courier service to pick up specimens daily.  The specimens are delivered to our air carrier in Denver where they are flown daily to Clinical Reference Laboratory in Lenexa, KS.

    Fax or Mail Time "MRO copy" to MRO.
    The MRO copy is faxed immediately following the collection.  The MRO copy and employer copy are mailed the same day of the collection.

    Confidentiality Procedures.
    CCOM is responsible for maintaining the confidentiality of all test results for DOT testing as outlined in the 49CFR40 regulations.

    CCOM is very sensitive to maintaining appropriate confidentiality on all medical records. The Company will be asked to identify contacts that will be used for this sensitive information. CCOM will also request that the company notify CCOM if the contact person changes. CCOM will also ask the company to identify secure Fax numbers for the transmission of confidential medical records and information to assure privacy for your employees.

  • Breath Alcohol Testing

    Type of device used.
    CCOM utilizes a Lifeloc Breathalyzer.

    Certification of Personnel.
    Breath/Alcohol testing will be conducted by a certified breath alcohol technician (BAT) using a DOT approved breathalyzer.  All CCOM BATs are certified by the breathalyzer manufacturer of the DOT approved EBT machines.

    Quality Assurance Program.
    Per 49CFR40, each EBT machine is calibrated annually and verified every month or after a positive test.

    Type of testing available - Random, Pre-service etc.
    CCOM will be able to provide a random program for employees in safety-sensitive positions through various programs run.

    CCOM is a subscriber to the Red Book, an updated publication of the Federal Drug and Alcohol testing rules to include the most recent rule changes. As a subscriber, CCOM is aware of the revisions to regulations and new governmental mandates regulating sample collection procedures.

  • eScreen Drug Testing

    It is a paperless, web based reporting platform that allows your company to access your drug screen results data right from your PC 24 hours a day, 7 days a week via your internet connection.  Results can also be obtained by auto-fax and telephone messaging.

    So you would like to:

    • Have negative drug screen results quickly
    • Paperless from the start 
    • Desktop results
    • Donor scheduling
    • Monitor test status
    • Random Generator
    • Real-time statistics
    • Data storage
    • system integration 

    For more information about this system, visit MyeScreen website.

Worksite Health Services

Worksite programs and Wellness programs can encompass a wide range of awareness, screening, education, lifestyle programs and behavior change support systems that lead to reduction of work-related injuries, improved health status, enhanced lifestyle behaviors and/or reduction in medical care demand. Finding the right mix of programs is dependent upon the population that is being served. Ultimately, we want health promotion and disease prevention to become a priority for all individuals.

  • On-Site Professional Services

    We currently provide on-site physician and on-site rehabilitation services to several large clients. CCOM can also provide on-site screening services.

    • Immunizations - We offer Hepatitis A and B, Tetanus, PPD, Tetanus Toxiod, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine Absorbed (Tdap) and yearly flu shots.
    • Hearing conservation - Hearing tests are offered in the clinic in a sound proof hearing booth. Some companies are required to have a hearing conservation program. OSHA regulations require a certified hearing conservationist administer this program
    • Respirator Fit Testing - Porta Count, using the Quantitative fit testing method. This is the preferred method used.
    • Pulmonary function Test /Spirometry
    • Medical Monitoring - Computerized records of mandated medical history for individuals in a given program or job classification.
  • Wellness Program

    A variety of employee education and wellness programs can be provided on-site at your company.  A survey can be provided that could be distributed to determine interest levels and program types most requested by employees.

    Given the resources available at Centura Health, virtually any topic and/or program can be provided. Centura Health can also provide or coordinate health fairs and flu shots for your company.

  • Workplace & Ergonomic Assessments

    In order to begin to evaluate the physical demands of the jobs within your company, the professional staff in Colorado Sports and Spine Centers can perform a walk-through of your workplace to identify postures, movement patterns, and equipment that could pose a risk of overextension, repetitive motion, and cumulative trauma injuries.

    Ergonomic analysis can also be done on a specific workstation(s) to reduce risk of injury.