FMLA & DISABILITY FORMS POLICY

We understand that patients may need documentation for leave from work, disability benefits, or employment accommodations. Please review this policy so we can process your request accurately and efficiently.

  • • The $35 fee is due when forms are dropped off and applies to each initial set requiring provider review.

    • Changes, revisions, corrections, or additional paperwork requested after completion require an additional $15 fee.

    • Payment does not guarantee approval. Certification is based on your medical condition, treatment, medical record, and the provider's clinical judgment.

  • • Complete every section marked for the patient before bringing forms to our office.

    • Provide complete forms, delivery instructions, and all employer, insurer, or benefits deadlines.

    • Submit forms as early as possible. Incomplete forms may delay processing.

  • • Allow up to two weeks for completion; requests are handled in the order received.

    • All forms must be reviewed by the treating provider.

    • We cannot certify information that is not supported by the medical record or clinical assessment.

  • • Forms will be returned to you or handled according to the delivery instructions provided.

    • You are responsible for submitting completed forms to the requesting organization by its deadline.

    • Updated forms are required for recertification or an extension.

PLEASE PLAN AHEAD AND SUBMIT FORMS AS EARLY AS POSSIBLE.