FMLA/Disability Submission for Patients

If you are a patient and need to request a FMLA or Disability form to be completed, please click on the link below to upload your form. Please include a copy of a completed authorization form if medical records are requested with the completed form.

Send form here: fmla@columbiaorthogroup.com

You can also fax the form to 573-443-0574.

---

FMLA/Disability Submission for Requesters

If you are an employer or disability company requesting a FMLA or Disability form to be completed, please click on the link below to upload your form.

Send form here: fmla@columbiaorthogroup.com

You can also fax the form to 573-443-0574.

---

FAQs

When will my FMLA/Disability Form be completed?
Once submitted, we will begin processing your request. Our goal is to submit completed requests within 7 business days.

How do I pay for my completed form?
Simply call: 573-876-1002

How do I contact Customer Service?
FMLA/Disability Form Completion: 573-554-9462