Submit a Disability / FMLA Form to
Start a New Form
Enter Tracking Number to Download a Completed Form
Get Started
Please choose how you would like to get your form to us.
I want to upload my form
I will submit my form by taking a picture of it or uploading it as a file.
Other Options
If none of the above options apply to you, or you need other services, please contact disability@medrecsmanagement.com or (770) 341-0917 for further assistance.
Enter Tracking Number
There has been an error processing your request. Technical support has been alerted, however additional information will help solve this issue. Please send some brief comments describing what you were doing:
Thank you for your comments. While waiting for technical support, please logout and log back in before retrying.