Referral Policy

Medical Functional Assessments has a "Let us do the leg work" policy. We take the administrative headaches away and will obtain authorization, schedule the patient, write appeals and follow-up as needed so you don't have to. This allows your staff to better allocate their time elsewhere. We will keep you abreast on any updates. If you have further questions, please contact our office.

On occasion we will perform a functional capacity evaluation or ergonomic evaluation on a lien basis. There must be supporting documentation that the requested service is warranted and needed to move the case forward. Please call our office to discuss further if you have any questions.

Physicians:

  • Download the referral form
  • Fax or email to us: your most recent physicians report, patient demographics (including insurance and contact information) and the referral form.
  • We will take care of the rest. If anything further is needed we will contact your office. We will follow up regularly and provide updates.

Insurance Carriers, Defense Attorneys or Case Managers:

  • Download the referral form
  • Fax or email to us: your most recent physicians report, patient demographics (including insurance and contact information) and the referral form.
  • We will take care of the rest. If anything further is needed we will contact your office. We will follow up regularly and provide updates.

Applicant Attorneys:

  • Download the referral form
  • Fax or email to us: your most recent physicians report, patient demographics (including insurance and contact information) and the referral form.
  • We will take care of the rest. If anything further is needed we will contact your office. We will follow up regularly and provide updates.

Employers:

  • Call our office. We will get an understanding of what it is you need done and guide you in the right direction.