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BNSF Railway fax number

(866) 280-8574

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Medical & Employee Health Department

Used for: Return-to-work fitness-for-duty evaluation; submission of the Medical Status Long Form and required medical documents to BNSF Medical & Employee Health Department

Fax destination details

Department
Medical & Employee Health Department
Purpose
Return-to-work fitness-for-duty evaluation; submission of the Medical Status Long Form and required medical documents to BNSF Medical & Employee Health Department
Form
Medical Status Long Form — Medical Status Long Form for Non Work-Related Medical Conditions
Address
2500 Lou Menk Drive, Fort Worth, TX 76131
Voice phone
1-855-781-3058

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Fax the completed Medical Status Long Form and any required medical documents to 866-280-8574; for assistance, contact the Off-Duty Department at 855-781-3058.

Official form instructions are published as a downloadable file on the organization's website.

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