Upload Complete Data Uploading Submit Te
MEDICAL
RECORDS
UPLOAD

You can upload  your medical records and/or ID securely below.

Your records MUST contain following information or we can not accept it:
1.  YOUR FULL NAME
2.  QUALIFYING DIAGNOSIS
3.  DOCTOR'S NAME OR CLINIC/HOSPITAL NAME
4. DATE YOU WERE SEEN
 
*WE CAN NOT ACCEPT PARTIAL/PIECES OF  RECORDS

*Please note your documents will not be reviewed by our doctors, unless your balance owed is zero or paid in full.

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Acceptable files are .PDF, .JPG, JPEG, .GIF

IF uploading multiple pages please combine them into 1-3 files if possible.