FMLA/Disability Forms
MaxHealth Family, Internal & Sports Medicine outsources the FMLA/disability form completion process to HealthMark Group. HealthMark Group will complete FMLA and/or disability forms upon receipt of the requested forms and valid authorization. The estimated turnaround time for completion is 24-72 hours.
Patient Instructions for FMLA/Disability Requests
FMLA and disability applications can be stressful. As the partner of MaxHealth Family, Internal & Sports Medicine, we’re here to make this process as easy as possible for you. We’ve outlined details of how to submit your request below, but please feel free to reach out to us with any questions or concerns. You can reach us by phone at 972-895-2138 or email at fmla@healthmark-group.com
How do you submit an FMLA or disability request?
Email us at clinicalforms@healthmark-group.com. In the body of the email, please include your full name, your date of birth, the name of your doctor and the name of your healthcare facility along with their address and phone number. Attach any and all forms related to your request.
Don’t have you forms yet? No problem. Here’s how you can get ahold of the forms you need:
Request your forms electronically through HealthMark’s Request Manager at https://requestmanager.healthmark-group.com. Once logged in, select “Submit Request” from the menu options and enter all required fields to submit a valid authorization. Please be advised, FMLA and disability forms carry a fee of $35.00, paid directly to HealthMark before processing can begin.
If an email is provided, you will receive a response directly from HealthMark notifying you of the prepayment invoice. After payment, the completed forms may be downloaded directly Request Manager, or provided directly to you through an agreed delivery method (i.e. secure email, mail, etc.).
How long does it take to process your requests?
Estimated turnaround time for most submitted FMLA or disability requests is seven days. We know that seven days can feel like an eternity when you’re waiting for key information. We get it. During those seven days we are diligently working behind the scenes, coordinating with several parties, including your doctor, your insurance company, your employer and you. We will keep you updated throughout the process, if we run into any roadblocks or concerns along the way. You are our top priority during these stressful requests.
Looking for more assistance? Check out our full FAQ here: https://healthmark-group.com/fmla-and-disability-form-faqs
If you have additional questions, please log in to Request Manager for status updates or to chat with support. Of course, you may always contact HealthMark by phone at 972-895-2138 or email fmla@healthmark-group.com.