Insurance Information
Knowing what insurances we accept should not be complicated.
Medical Records/ Disability / FMLA
Need FMLA, disability, or medical records? Our team ensures that all your medical records, disability, and FMLA forms and requests are handled accurately and promptly.
Kimberely Williams is our in-house Medical Records/Disability Forms /FMLA Coordinator, who manages patient health records and serves as a liaison between patients, healthcare providers, and third parties like insurance companies, ensuring all forms are properly and accurately completed and submitted in a timely fashion that complies with legal and regulatory standards.
To help you, we have put together the most frequently asked questions we get asked regarding Medical Records, FMLA, and Disability Forms.
Medical Records
How do I request a copy of my medical records?
You can reach our office by phone, email or in person. For Phone: 817-926-2663 x 231, For Email: Click Contact Documentation Support. In Person: Our address is 215 Old Highway 1187, Burleson, TX 76028
Is there a fee for obtaining my medical records?
Yes. For your full record there is a $25 processing fee. For a copy of your X-rays on a CD it is $10.
How long does it take to receive my medical records?
Once a request is made and payment is received, please allow 1-2 business days for processing and 1-2 days for processing X-Rays on CD.
Can someone else request my medical records on my behalf?
Yes. Only if that person is listed under your approved release list. If it is another doctor’s office, they will need to send our office a written request with a signed release from the patient.
Can I request only part of my medical record?
Yes. You can, however, the same fees as a full record may apply.
Disability & FMLA
How long does it take to complete FMLA or disability paperwork?
For standard processing, please allow 5-7 business days; expedited forms will take 1-2 business days.
Is there a fee to have my disability or FMLA forms completed?
The initial set of forms will be $45. Any additional forms will be $15. If you need them completed sooner than 5-7 business days, it will be an additional $30 fee per set of forms.
Can I email or fax my forms to the office?
Yes. you can do either. Or you can bring them in in person.
Can I request updates or extensions to my FMLA, or disability leave?
Yes. You can request an extension to be completed. The $25 additional form fee will apply, and the extension approval is at the discretion of your provider and approvals through your disability company are not guaranteed.
Note to Third-Party Requesters
For all third-party requesters, To request medical records, please fax along with a cover sheet addressed to Kimberly – Medical Records / Disability Forms Coordinator or contact Documentation Support. Fax: 817-293-8860 or email by clicking on Contact.