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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.

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

  • 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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