Form Completion

Sharecare handles the Medical Record Release of Information and Family Medical Leave Act/Disability Forms.

Authorization Form for FMLA & Short-Term Disability

FMLA/DISABILITY FEE:

$30 for the for the first set of forms and $15 for each additional set. Please allow 5-7 business days for completion after your payment has been made.

SEND THE FORM TO:

Mail: Hill Country OB/GYN Associates, 9805 Brodie Lane, Austin, TX 78748

Fax: (512) 394-9388

Email: medicalrelease@ahcobgyn.com

If you have questions regarding the form completion or turnaround time, please contact the form department at (866) 273-4039.