FMLA & Short-Term Disability

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

Authorization Form for FMLA & Short-Term Disability

  • Send Form To

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

    Fax: (833)448-3184

    Email: medicalrelease@ahcobgyn.com

  • FMLA/Disability Fee

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

    Pay Online: https://payment.hds.sharecare.com/Payments

    Enter your email address for Receipt – Invoice # - Amount of Invoice

  • Questions

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