Submission Instructions

Submit your medical records and quick quote requests below. All medical records must be accompanied by a HIPAA authorization, please make it the very first sheet in the records.  Medical records unaccompanied by a HIPAA authorization are immediately deleted from the system.  Quick quotes should have no information that identifies the client so remove name, address, phone number, date of birth, or social security number from your quick quote document.

Submit Medical Records or Quick Quotes