Disability Forms

While disabled from working, many of our patients ask the doctors to assist them in the completion of special forms that cover credit card or car payments, mortgage payments, short-term disability income, etc.

Our staff is willing to assist you with these needs. Please understand that these requests are numerous, and the forms themselves are quite time-consuming.

A per-form payment of $30 for 1–3 pages and $60 for 4 or more pages is required for completion. Please allow 7–10 days for processing. If you are mailing forms to us, please address them to the attention of your doctor’s nurse and send them to 59 Executive Park South, Atlanta, Georgia 30329. The forms will not be completed until payment is received.

Payment should be coordinated with your individual physician’s office. A check made out to “The Emory Clinic” can be mailed to the attention of your physician. If you’d prefer to pay with a credit card, please call your physician’s office and let them know, and a representative of our Patient Services team will call you back to collect the credit card information.

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