Physician’s Report

To submit a Physician's Report, please follow the steps below:

  • 1. Print out the form linked here
  • 2. Get the form filled out by a Physician
  • 3. Scan the complete form into your computer
  • 4. Attach files below and click Submit
Drop files here or
Accepted file types: jpg, pdf, png, doc, docx, Max. file size: 300 MB.