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test fortw, Indiana 46804 usa
E 40° 0" N 30° 0"
Telephone: (260) 432-4400
Fax: 260

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.