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FMLA/Disability Form

FMLA/Disability Form

FMLA/Disability Submission for Patients and Requesters

If you are a patient, employer, or disability company requesting an FMLA or Disability form to be completed, please click on the link below to upload your blank form. Once you have submitted your form, Sharecare will contact you within 48 hours to collect payment for processing.

Request FMLA/Disability Form


How Do I Contact Customer Service?

Call: 866-273-4039

Contact Support for live chat: https://hds.sharecare.com/contact-us/