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FMLA and
Disability Form

CLICK HERE FOR FLMA FORM

Moreland OB-GYN Associates, S.C. is here to assist you with the completion of your disability of FMLA form. We have trained staff who work closely with the physicians to complete and submit your medical leave paperwork to either your employer or Disability Company.

Completion of disability or FMLA form takes approximately 7-10 days. Your paperwork can be submitted to our office by email, fax, mail or you can drop it off at the front desk with the office staff.

We ask that you submit all of your medical leave forms. Please make sure that the information section has been completed and signed. Your signature is needed in order to release information.

Please feel free to contact us at any time with any questions or concerns regarding your disability or FMLA form.

Moreland OB/GYN
Phone: 262-544-4411
Fax: 262-650-3856

For guidance on eligibility and benefits see the FMLA Fact Sheet.

Click here to download the FMLA Compliance Guide.

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