Disability/FMLA Request

Submit Your Forms Online for Fast, Easy Processing

Need to have a disability or FMLA form completed by HROSM? The process is simple—have your form ready, complete your request online, and submit payment securely through the link below. Please do not bring forms to the practice, as requests submitted through this online process help ensure the quickest turnaround.

Before you begin, make sure you have your disability or FMLA form from your disability carrier or employer. Forms are not provided through this link. The normal turnaround time is 5–7 business days from payment, with expedited processing available for an additional fee. Please note that FMLA and disability forms must be submitted as separate requests.

Disability

To Complete a Disability/FMLA Form:

  • Please click the link below to begin the disability/FMLA form process; please DO NOT bring forms to the practice to turn in.

  • Make sure to have your disability or FMLA form with you BEFORE logging in! (You should have received these forms from your disability carrier or employer). No forms are provided on this link.
  • Normal turnaround time to receive your completed form is 5-7 business days from payment. There is an additional fee for expedited requests. Forms not submitted through this link could result in a slower turnaround.
  • You will be asked for payment on this page as well. The cost is $30 per form, $15 for an updated form and $50 for an expedited request (guaranteed 3 day turnaround).

  • FMLA and disability forms cannot be completed on the same request. These forms must be submitted separately.

  • For any further questions, please contact us via text or phone call at 757-919-4503. Text messages will provide a quicker response.