We accept referrals in a variety of ways including hard-copy print, email, fax or secure electronic upload.
Queries and Reporting
Having trouble downloading our referral form? Click here.
Documents Needed for Allocations
In order to prepare the most accurate allocation possible, we need the following documents:
Most recent two years of medical records
First report of injury in workers' compensation cases
Claims payment history/listing
Summary of medications (if available)
Completed referral form