Below you will find instructions on how to submit your Disability or FMLA forms to MediCopy, an MRO company. If you have questions about the process, either text by clicking the bubble found on the bottom right of your webpage, or give us a call.
Steps For Form Completion
If you have questions about the process, either text us by clicking the bubble found on the bottom right of your webpage, or give us a call.
Step 1
Turn in your form(s) to be completed via one of the following options:
Required: Include the patient's name, date of birth, doctor's name, and healthcare facility's name on the form if submitted via email or fax
• Email: A PDF of the form can be sent to med_disabilityform@mrocorp.com.
• Fax: 888.972.2476
• In-Person: Drop the blank Disability or FMLA form off at your doctor's office.
After you submit your forms, return to this page and complete step 2
Step 2
Submit an intake and authorization form via Web or PDF.
Option 1: Submit an intake form online
Option 2: Download and submit online, mail or in-person
Once we receive your form(s), here is what to expect:
Step 3
MediCopy, an MRO company will send you an invoice to be paid before the form(s) is completed.
There will be a charge for form completion. The form will not be completed until the invoice is paid. To quickly receive your invoice, please include your email address with your submitted form(s).
Step 4
Once payment is received, MediCopy, an MRO company will complete your form(s) within three business days.
Step 5
Upon completion, forms will be sent to the designated requesting party.
You may also request a copy of the completed form to be emailed to you as well. Please note on your form(s) or the intake form that you would like a copy and provide a valid email address.