FMLA Information

We have partnered with https://www.sharecare.com/ to now complete all of your FMLA and Disability forms.

FMLA/Disability Submission for Patients and Requesters

If you are a patient, employer, or disability company requesting an FMLA or Disability form to
be completed, please click on the link below to upload your blank form. Once you have
submitted your form, Sharecare will contact you within 48 hours to collect payment for
processing.

Click here to submit a blank FMLA or Disability form for completion 
 https://submissionportal.hds.sharecare.com/lfserver/FormRequest?ClientID=GA903F

When will my online medical record request be ready?
Your records will be ready in 3-5 business days from the receipt of your electronic request.

How do I check the status of my request?
Go to  https://www.sharecare.com/

How do I pay for my records and/or radiology images?
Go to:  https://www.sharecare.com/

How do I contact Customer Service?
You may call: 858-244-1811
Contact Support for live chat:  https://www.sharecare.com/

A minimum of 72 hours is required to complete forms. Emergency issues will be handled in a priority manner. All effort will be made to complete as quickly as possible.

You must complete all patient requested information and remember to sign and date. Please do not complete any portion of the physician section.

By law, we are required to have a signed authorization from all patients prior to disclosure of their medical information to any outside source. Most disability or FMLA forms include an authorization to disclose information page or paragraph to be signed by the patient. If your paperwork contains this, please be sure to carefully read and complete that section by signing and dating where indicated.

If your forms do not include an authorization page or section, you will be required to sign our office authorization form prior to completion or release of these forms to anyone, including you. Please note, this includes FMLA for your Spouse or relatives as well. We must have an authorization from the patient before any medical information will be given. The office authorization page can be found here.

Just a reminder, if your employer offers FMLA benefits, you are entitled to 12 weeks time off for the birth of a child. However, our office only allows six weeks medical disability for vaginal deliveries and eight weeks for C-Section deliveries. Any additional time off is between you and your employer.

If you have any questions, please contact our office by phone at (770) 422-8505, and select the option for FMLA/Disability in our phone menu.