Occupational, Environmental Health

Work-Related Exams, Tests, and Injury Treatment

Call for an Appointment 855-855-6484

Our board-certified physicians and expert staff are specially trained in occupational medicine. We offer services ranging from one-time individual or situational assessments to design and implementation of injury-prevention, wellness, monitoring, and compliance programs for workplaces. We work with individual patients, employers, and other parties and recognize that each has different needs. After identifying your unique concerns, we create a customized solution from the services we offer. We provide evaluations and treatment consistent with applicable regulations, protect confidentiality, and provide carefully considered advice on work restrictions and job accommodations.

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We offer a wide spectrum of services, from one-time individual or situational assessments to design and implementation of injury-prevention, wellness, monitoring, and compliance programs. We work with individual patients, employers, and other parties. Our programs and services include:

Biologic Hazards and Exposure Evaluations

We provide consultations for occupational or environmental biological hazards, exposure assessment regarding environmental or occupational settings, and epidemiology consultation for environmental or occupational health. Occupational or environmental biological hazards services include assessment of indoor air quality and occupational hazards in health care settings. We also offer exposure assessment services, which include industrial hygiene evaluations for many potential hazards such as:

  • Noise
  • Asbestos
  • Heavy metals
  • Organic solvents
  • Indoor air pollution

In addition, we provide statistical or group assessments for health effects in clusters of patients exposed to environmental or occupational health hazards.

Ergonomics and Occupational Pain

We offer consultations and treatment for workers at risk for or suffering from cumulative trauma, repetitive strain, ergonomic disorders, and work-related musculoskeletal disorders.

Occupational Health and Wellness for Duke Employees

We help faculty, staff, and their family members practice prevention through a broad range of health management programs that emphasize a proactive approach to improving health and preventing disease before it happens. For more about this program for Duke employees, please visit the visit the Duke Human Resources Web site.

Our Locations

Duke Health offers locations throughout the Triangle. Find one near you.

Toxicology Consultation and Services

We offer consultations regarding the investigation and treatment of occupational or product-specific exposures. In addition, assistance concerning occupational and environmental emergencies is offered 24 hours a day. Call 919-286-5744 for more information.

Work Ability/Work Disability

Our occupational medicine, ergonomics, and mental health professionals effectively address most questions pertaining to a person’s ability to perform a job, the risks of a particular person doing a job, or job modifications necessary to make a job “fit.” We are available to address these questions as they relate to:

  • Hiring process
  • Disability claim
  • Work performance problem
  • Family and Medical Leave Act (FMLA) application
  • Work injury
  • Troublesome workplace behavior

When needed, we also incorporate consultations with specialists in other fields, such as neurology, orthopaedics, and cardiology. For more information, please call Ellen O’Briant, RN, 919-286-3232, Ext. 223

Call for an Appointment


Duke occupational and environmental health services include:

  • All types of employment exams
  • Work-related injury and illness treatment
  • PFTs, audiograms, lab tests, screening exams, etc.
  • Preventive medicine and health maintenance exams
  • All exams required by FAA, DOT, OSHA (e.g. hearing conservation, respirator clearance, etc.)
  • 24-hour services to address blood and body-fluid exposures
  • Drug testing and MRO services
  • Limited "convenience" care for employees' personal illness (by prior arrangement)
  • Job-related travel medicine with full range of immunizations

We offer specialty medical evaluations for:

  • Work-relatedness or work capacity
  • Job accommodations
  • Health impact assessment for toxic, physical, or biological exposures
  • Medical-legal and worker’s compensation evaluations
  • Disability assessments
  • Causation analysis
Consistently Ranked Among the Nation’s Best Hospitals

Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are once again recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2023–2024.