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