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Advanced Orthopedics New England
Schedule Your Appointment
  • Home
  • About
    • Reviews
  • Meet Our Specialists
    • Dr. Scott Bissell
    • Dr. Amanda Fantry
    • Dr. Matthew Grosso
    • Dr. Alex S. Ha
    • Dr. David Kruger
    • Dr. Alexander Rondon
    • Dr. Lili Schindelar
    • Dr. Steven F. Schutzer
    • Dr. Brett Wasserlauf
    • Advanced Practice Providers
  • Conditions We Treat
    • Neck & Back
    • Shoulder
    • Hand, Wrist & Elbow
    • Hip & Knee
    • Foot & Ankle
  • Services
    • Orthopedic Urgent Care
    • Workers Compensation
    • Joint Replacement
    • Sports Injuries
    • Trauma & Fractures
  • Patient Info
    • General Information
    • Patient Forms
    • Medical Records Request
    • Disability/FMLA Requests
  • Contact & Locations
    • Bloomfield
    • Enfield – Urgent Care
    • Vernon – Urgent Care
    • Springfield, MA

Disability/FMLA Requests

To complete a Disability or FMLA request form:

  1. Please click the link below to begin the Disability/FMLA form process. Please DO NOT bring forms to the practice to turn in. 
  2. Make sure to have your disability or FMLA form with you BEFORE logging in! (You should have received these forms from your disability carrier or employer.) No forms are provided on this link.
  3. Normal turnaround time to receive your completed form is five business days. There is an additional fee for expedited requests.
  4. You will also be asked for payment on this page (if applicable).
  5. FMLA and Disability forms cannot be completed on the same request. These forms must be submitted separately.
  6. For any further questions, please contact us at (860) 835-0725 or [email protected].

 

Disability/FMLA Requests

 

Third-Party Requests:

For 3rd parties, such as attorneys and insurance companies, requesting a copy of a patient's medical record, please fax your request to (615) 777-3517. If you have any questions, please email Advanced Orthopedics New England at [email protected] or call us at (860) 835-0725.

 

 

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(860) 728-6740

Advanced Orthopedics New England

  • Bloomfield
  • Enfield
  • Vernon
  • Springfield, MA
Copyright © · Advanced Orthopedics New England · All Rights Reserved

The orthopedic doctors at Advanced Orthopedics New England offer comprehensive care for orthopedic injuries and diseases affecting the Neck & Back, Shoulder, Hand, Wrist & Elbow, Hip & Knee, and Foot & Ankle.