FMLA and Disability Forms
If you have FMLA forms or disability forms to be completed, please submit them using the information on this page.
Request for FMLA and Disability Forms to be Filled
All OrthoVirginia patients who need an FMLA or disability form to be filled out should submit an online request to Sharecare.
Once you have submitted your form, Sharecare will contact you within 48 hours to collect payment for processing.
For questions or to ask about the status of your request for FMLA or disability forms, please call Sharecare at 804-823-8490.
FMLA and Disability Form Request Process FAQ
Yes, it costs $25 for each form. After you submit the online request, Sharecare will contact you with information about payment options.
You may pay online or by phone.
Pay online
- If you provide a working email address on your request, you will receive an email notification with a payment link to allow you to pay on the Sharecare payment portal website.
- If you did not provide an email address on your request or cannot locate the email notification but would like you pay online, you can pay at payonline.hds.sharecare.com. You will need your Request ID to make the payment.
Pay by phone
- Call the Sharecare Customer Service Department at 804-823-8490. They accept all major credit cards. They do not accept HSA cards as a payment method.
A Request ID is a unique ID specific to the individual patient and request for records being completed. Sharecare assigns the ID. If you are unable to locate it, you can contact Sharecare for assistance at 804-823-8490.
You can contact the Sharecare Customer Service Department at 804-823-8490 for the status of your form, as well as the Request ID number associated with your form.
Please allow 48 hours for Sharecare to receive your request from the time you submit it. Once payment is received, it may take up to 5-7 business days to complete the request.
Please reach out to Sharecare at 804-823-8490 with any additional questions.