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REFERRALS

REFERRALS

If you would like to refer a patient/claimant to Unison Medical Assessments, we are always here for you.

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Referral info

Whether you require us to provide general Post-Accident care, specific Independent Medical Evaluation (IME) or any other type of request that we can accommodate, your case is in good hands.

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We would need you to forward the supporting documentation to unison.outside@gmail.com, including:

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  • Completed Unison Medical Assessments Referral Form

  • OCF-1 and OCF-3 for the Index Accident

  • All available Clinical Notes & Records 

  • Previous Assessment and/or Diagnostic Imaging Reports

Referral form

Download and submit Unison Referral Form online:

or

Referal form
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