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We are looking forward
to hearing from you!
call us Toll Free Number to get in touch
available from 08:00 – 18:30
To expedite the process, please send this now in order to speed up the process at the medical office. For better quality, scan the following documents, otherwise, please take a picture of the following on a matte, black background with your mobile phone.
We will need some important documents
upload your files
in the form above
Provide the front and back of your:
1.- Identification (ID): Passport, US Driver’s License (DL), Immigration Card, State ID, any government issued ID.
2.- Insurance Card: If automobile accident, please provide your insurance company issued card.
3.- Insurance Card: Kindly also include the front and back of your private insurance company (private, Medicaid, Medicare, HMO, etc.)
4.- Police Report