Occupational Lung Disease Toolkit Guide

A complete copy of this toolkit is available in Adobe Portable Document Format (PDF) (file size: 1159 KB).

Your Occupational Lung Disease Toolkit includes a section with educational information about occupational health, a section with information about the Occupational Lung Disease Registry, and a section with materials about asthma, as described below:

Educational Information about Occupational Health

• New York State Occupational Health Clinic Network:
  The Clinic Network is available for consultation or referral of patients with occupational lung disease. Services and locations of the Clinics are provided.
• Environmental Exposure History Card (ATSDR):
  Summarizes the steps involved in taking an occupational and environmental health history.
• Article - "Diagnosis of Occupational Diseases":
  Describes four questions healthcare providers should routinely ask their patients to assist in identifying whether a disease may have an occupational etiologic component.
• Occupational Medicine Clinical Practice Reviews:
  References a web-site healthcare providers can use to access nine Occupational Clinical Practice Reviews published in the American Journal of Industrial Medicine.
• Form - "Exposure History Form" (ATSDR):
  This form can be an efficient way to obtain information about patients' environmental exposures.

Occupational Lung Disease Registry

• Brochure - "Occupational Lung Disease Registry":
  Provides information about the New York State Occupational Lung Disease Registry and the conditions reportable to it.
• Occupational Lung Disease Reporting Regulation/HIPAA Compliance:
  Describes the law mandating physicians to report patients with occupational lung disease to the Occupational Lung Disease Registry and clarifies the authority to acquire confidential information.
• Rolodex Card:
  Toll-free number for reporting cases to the Occupational Lung Disease Registry.
• Form - "Occupational Lung Disease Registry Physician Reporting Form":
  This form can be used for submitting reports to the Occupational Lung Disease Registry. Reports can also be called in on the toll-free line.

Work-Related Asthma Information

• Pocket Card - "Occupational Asthmagens":
  Provides a list of common workplace asthmagens and corresponding list of workers likely to be exposed to these substances.
• Article - "What is Work-Related Asthma?":
  Defines occupational asthma and describes the steps involved in its clinical evaluation.

NOTE: Forms listed above are in Portable Document Format (PDF). Help with PDF documents can be found here.

To receive hard copies of these forms, please contact:

New York State Department of Health
Bureau of Occupational Health and Injury Prevention
Empire State Plaza-Corning Tower, Room 1325
Albany, New York 12237
injury@health.ny.gov

518-402-7900 or 1-800-458-1158

Use the form below to request other materials:
Materials Request Form: Occupational Lung Disease and Occupational Health Materials