If you are needing our office to complete FMLA/SHORT-TERM DISABILITY paperwork please read the following guidelines.
There is a $20 charge for our office to fill out your FMLA/Short-Term DISABILITY form(s)
This charge will cover all forms associated with this pregnancy/delivery/surgery
Please allow up to 5 days for your form to be completed
If you have any questions and need to contact our FMLA Specialist please call Jyl at 260-432-4400 x6412.
Our fax number for these forms is 260-432-2723.