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.

FMLA/Disability Form

When will my online medical record request be ready?

Your records will be ready in 3-5 business days from the receipt of your electronic request.

How do I check the status of my request?
Go to

How do I pay for my records and/or radiology images?

Go to:

How do I contact Customer Service?

You may call: 858-244-1811 or contact support for live chat:

How can we help you?