Disability/FMLA Requests

To Complete a Disability/FMLA Form:

  1. Please click the link below to begin the disability/FMLA form process. Please DO NOT bring forms to the practice to turn in. 
  2. Make sure to have your disability or FMLA form with you BEFORE logging in! (You should have received these forms from your disability carrier or employer). No forms are provided on this link.
  3. Normal turnaround time to receive your completed form is five business days. There is an additional fee for expedited requests.
  4. You will also be asked for payment on this page (if applicable).
  5. FMLA and Disability forms cannot be completed on the same request. These forms must be submitted separately.
  6. For any further questions, please contact us at (860) 835-0725 or Disability@MedRecsManagement.com

 

Disability/FMLA Requests

 

Third-Party Requests:

For 3rd parties, such as attorneys and insurance companies, requesting a copy of a patient's medical record, please fax your request to 615-777-3517. If you have any questions, please email us at disability@medrecsmanagement.com or call us at (860) 835-0725.

 

 

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