What services does Kootenai Occupational Medicine offer?

Kootenai Occupational Medicine offers the following occupational health services:
•  Audio & Vision Testing
•  DOT Physicals
•  Drug & Alcohol Testing
•  Employment Physicals
•  Rapid Result Collection Services
•  Immunizations
•  Injury Management
•  Pulmonary Function Testing
•  Random Drug Screen Administration
•  Respiratory Physicals

If I don't want to put an injury under the workers compensation insurance, can I put it under my own private health insurance?

In the state of ID, all work-related injuries are the responsibility of the employer. We will bill your employer or their insurance for any necessary treatment. If your injury is not related to work, you will need to make an appointment with your primary care physician.

Do I need to make an appointment for a drug screen?

No. Clients needing a drug screen are seen on a first come, first serve basis.

How long does it take for drug screen results to come back?

Negative results are reported to your employer in 24-36 hours. An MRO (Medical Review Officer) will contact the patient to discuss any positive results usually within 2-3 days following collection. Results are reported to the employer immediately following the MRO’s discussion with the patient.


How do I contact the Occupational Medicine Clinic?

1112 W. Ironwood Drive, Coeur d'Alene, Idaho 83814
Phone: (208) 292-2959
Fax: (208) 292-2944 
E-mail :

What is your cancellation policy?

Please call the office 24 hours in advance to cancel appointments. 

What if my employee gets hurt after hours?

Our urgent care facilities are open until 9 p.m., and we are also affiliated with the Kootenai Health Emergency Department.

What is the recent change in DOT testing?

Starting January 30, 2012 and no later than January 30, 2014, all CDL holders must provide information to their SDLA regarding the type of commercial motor vehicle operation they drive in or expect to drive in with their CDL. Drivers operating in certain types of commerce will be required to submit a current medical examiner’s certificate to their SDLA to obtain a “certified” medical status as part of their driving record. CDL holders required to have a ”certified” medical status who fail to provide and keep up-to-date their medical examiner’s certificate with their SDLA will become ”not-certified” and they may lose their CDL.

What is changing?

State driver licensing agencies (SDLAs) will be adding your medical certification status and the information on your medical examiner’s certificate to your Commercial driver’s license system (CDLIS) record.

When does this change start?

This change starts on January 30, 2012. The driver physical qualification requirements are not changing.

What are CDL holders required to do? 

1. You must determine what type of commerce you operate in. You must certify to your SDLA to one of the four types of commerce you operate in as listed below,

  • Interstate non-excepted: You are an Interstate non-excepted driver and must meet the Federal DOT medical card requirements (e.g. – you are “not excepted”).
  • Interstate excepted: You are an Interstate excepted driver and do not have to meet the Federal DOT medical card requirements.
  • Intrastate non-excepted: You are an Intrastate non-excepted driver and are required to meet the medical requirements for your State.
  • Intrastate excepted: You are an Intrastate excepted driver and do not have to meet the medical requirements for your State.
2.  If you are subject to the DOT medical card requirements, provide a copy of each new DOT medical card to your SDLA prior to the expiration of the current DOT medical card.

Can my primary care provider care for my work injury?

Although primary care physicians are highly skilled, professionally trained physicians that are well suited to treat your injury, it is advised that you receive treatment at a clinic that specializes in Workers Compensation claims. A clinic specializing in this form of care will be better suited to assist with issues related to the “Claim” (modified work instructions, expedited referral options, and employer and/or claims manager communication) as well as treat your injury or illness.

How quick is your turn around on drug screenings?

Industry standard is 24 hours for test that have been forwarded to the lab for testing. Kootenai Occupational Medicine also offers a rapid read drug testing option that gives results as the employee is in the clinic. Positive tests are forwarded to the appropriate lab for confirmation testing.

I am an employer, how can I receive my employee's drug screen results?

Drug screens performed at any of the Kootenai Urgent Care clinics or Kootenai Occupational Medicine will be phoned to the appropriate employer representative within 48 hours.

What can I expect as a new patient?

Kootenai Occupational Medicine is designed to have 4 “ports of entry” to the workers compensation system: three Kootenai Urgent Care clinics and Kootenai Health Emergency Department. Any of these locations have the ability to initiate care, start the process to open your work injury claim, and assure that your care is appropriately followed with Kootenai Occupational Medicine for the remainder ofth  claim.

What kind of services do your clinics provide?

Kootenai Occupational Medicine is a full Occupational Medicine program that has the ability to provide a variety of employee healthcare options for you as an employer, as well as workers injury and illness care.

When am I entitled to Workers’ Compensation?

Workers' compensation insurance is a no-fault insurance policy, which provides wage loss and medical benefits to workers with a job-related injury or disease. Nearly every worker is protected by workers' compensation insurance, as state law requires most employers to have workers' compensation insurance.

A job-related injury or disease can be defined as: An injury or illness that occurred while the employee was “Working within the usual and customary confines of his/her usual position.”

If you obtain an injury while at work, information will be sent to the insurance surety. Your claim will be assigned to a claims manager who will review all the information regarding your injury or illness and, based on appropriate guidelines, will determine if the claim is accepted and allowed.

Can I expect immediate treatment if I go to the urgent care, how long can I expect to wait?

Yes. Within Kootenai Urgent Care you will be evaluated by our well trained physicians and mid-level providers who will initiate immediate care and assist in opening a worker’s compensation claim for you. Your care will then be referred to Kootenai Occupational Medicine.

Wait times in an Urgent Care setting can vary on a minute to minute basis. As patients present to the clinic, they are evaluated for the severity of the reason they are coming in. If another patient has a more severe situation than you, you may be required to wait.

What is the difference between “Urgent Care” and “Emergency Room Care?”

Cost. An Emergency Room visit, for the same injury, can cost as much as five times that of the care received in an Urgent Care setting.

Having said that; an Emergency Room is open 24 hours a day, where an urgent care clinic will close around 9:00 – 10:00 at night.

It is important to remember that workers compensation insurance does have a cost, part of which is paid directly by the employee. As claims are filed, the cost increases, and a portion of those increases will be directed to the employees of the business.

What are your hours of operation? 

Kootenai Urgent Care:  7 days a week 7:00 AM – 9:00 PM
Kootenai Occupational Medicine: Monday – Friday 8:00 AM – 5:00 PM

What if I am on medications that could possibly make my drug screens positive?

Drug screens fall primarily under two categories; DOT (NIDA) and Non-DOT (Non-NIDA).

DOT Drug screens: DOT drug screens will use a Medical Revue Officer (MRO) to review all positive results. The MRO will contact you, at which time you are able to explain why the medications are present.

Non-DOT Drug screens: Non- DOT drug screens are not mandated the way DOT drug screens are. Because of this, non-DOT drug screen results may go to and MRO for review, but may not. If the results go to the MRO the process will be the same as the DOT drug screen, if your employer does not use an MRO you will have to discuss the results with an elected employee representative who will follow the guidelines set by your employer.

What time frame should I expect when I come in to your office/clinic?

When you come to the clinic for your visit you should expect to be at the clinic for approximately 1 hour.

Do I need to bring anything with me for my drug screen?

Picture ID. The drug screen collector is required to confirm that the person present is the person required to do the drug screen prior to initiating the collection.

How do I get to your office?

Kootenai Urgent Care: Coeur D’Alene office: 700 Ironwood Drive, Suite 120E Coeur d'Alene, Idaho 83814

Hayden office: 566 W. Prairie Avenue Coeur d'Alene, Idaho 83815

Post Falls office: 1300 E. Mullan Avenue, Suite 600 Post Falls, Idaho 83854

Kootenai Occupational Medicine: 1112 W. Ironwood Dr. Coeur d'Alene, Idaho 83814

Kootenai Health Emergency Department: 2003 Kootenai Health Way Coeur d'Alene, ID 83814

As an employer, how can I sign my company up for occupational medicine services?

There are several options to setting an employer up as a Kootenai Occupational Medicine client.

  1. You can go to our web site and complete “New client set-up” :
  2. Call our clinic and speak to one of our clinic staff members who will be able to set you up as a client.