The Surgical Clinic
Medical Records & FMLA/Disability
The Surgical Clinic has partnered with HealthMark Group to ensure the accurate and timely completion of your medical record requests and FMLA and/or disability forms.
Medical Records
Submitting a Patient Request
Requests can be submitted electronically to HealthMark’s Request Manager at the following web page: https://requestmanager.healthmark-group.com
Contacting HealthMark Group
Additional Questions
Please log in to Request Manager for status updates, or to chat with support. If you have any additional questions, you can contact HealthMark Group at 800.659.4035 or status@healthmark-group.com.
FMLA and Disability Forms
Submitting a Request
A signed and completed authorization form is required from each patient. Each form requested for completion will require a fee to be paid directly to HealthMark Group:
- HealthMark Group will complete the forms upon receipt of the requested forms and a valid authorization.
- The estimated turnaround time will be 24-72 hours.
If an email is provided, you will receive a response directly from HealthMark Group notifying you of the prepayment notice. After payment, the completed forms may be downloaded directly through HealthMark Group’s website, or provided directly to you through an agreed to delivery method (i.e. secure email, mail, etc.)
Contacting HealthMark Group
Additional Questions
If you would like to inquire on the status of your forms or have any additional questions, please call 972.895.2138 or send an email to fmla@healthmark-group.com
