FMLA/Disability Forms

1. Download and fill out the Authorization Form.
2. Attach your blank FMLA or Disability forms.
3. Bring those forms to the nearest TOC location, or mail the form to the TOC location you were last seen at.
4. Sharecare will contact you regarding payment (A fee of $30 per from is required prior to form completion).
5. Once payment is received, your form(s) will be completed and sent to the recipient listed on the release.
6. For questions about FMLA or disability forms, please contact (866) 273-4039.
7. Please note, it may take up to 7 business days for the patient to receive their forms.