Disability Form and Instructions
Disability Form Completion Process
TMI Sports Medicine has partnered with Record Connect to ensure the accurate and timely completion of your FMLA and/or Disability forms.
Each form requested for completion will require a $25 fee for patients to be paid directly to Record Connect. If the form is to be sent to a third party (attorney, copy service, insurance, etc.), the fee will be $50 to the third party. Record Connect will complete the forms upon receipt of the requested forms and a valid authorization. The estimated turnaround time will be 24-72 hours. If an email is provided, you will receive a response directly from Record Connect notifying you of the prepayment invoice. After payment, the completed forms may be downloaded directly through email or provided directly to you through an agreed upon delivery method (Fax, mail, etc.)
If you would like to inquire on the status of your forms or have any additional questions, please call (682) 712-1879 (it is the same as the fax number listed above, however, it will be routed as a phone call) or email firstname.lastname@example.org.