Women First of Louisville charges an administrative fee for the completion of certain work-related documents presented by patients. These documents include Disability Insurance Benefits Forms, Family and Medical Leave Act (FMLA) forms, and return to work forms. Typically, your employer or insurance company requires these forms when a medical condition prevents you from reporting to work. A licensed medical professional must sign these documents verifying that the information is correct. In the event that you need Women First to complete one or more of these forms, we will be happy to assist you. The fee for this service is $30 per medical condition.
Please follow these steps to ensure the timely completion of your forms:
- Obtain a copy of the forms from your employer or insurance company.
- Mail or drop off the form(s) at our office. Include a check payable to Women First of Louisville for $30 unless you have previously paid this fee.
- Please allow 3 business days for completion.