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If you have any questions at all about your case please do feel free to call us at 1-877-678-0935. Our Claimant Services team would be happy to assist you.

But wait! Before you go….

If you’ve had a recent medical treatment or visit with a medical professional, tell us about it!

And if your contact information has changed (for instance, a new email address, phone number, home address, or preferred alternate contact) we’d love it if you could update your info!

HAVE AN UPDATE REGARDING YOUR MEDICAL TREATMENT?

If you’re an existing client and have updated information about your medical treatment, please let us know. If we have any questions for you, a member of the Client Services team will be in touch with you directly.

First Name(Required)

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Phone(Required)

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Address(Required)

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Doctor's Name(Required)

Name of the treating medical professional

Doctor's Street Address(Required)

Address of the treating medical professional's office

Doctor's City(Required)

City/town of the treating medical professional's office

Doctor's Zip Code(Required)

Zip code of the treating medical professional's office

Doctor's Phone(Required)

Phone number for the treating medical professional's office

Date of Visit(Required)

Please enter the date of your visit with this medical professional

Reason for Visit(Required)

Thanks for letting us know!

HAVE AN UPDATE REGARDING YOUR MEDICAL TREATMENT?

UPDATE YOUR CONTACT INFORMATION