Liability Referral Intake Form - Saber Solutions
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Liability Referral Intake Form

GETTING YOUR LIABILITY REFERRAL INFORMATION TO SABER

Directions for Downloads

  • Click on the first circle below to open the form in a new window tab
  • To download, click the down facing arrow in the upper right corner

Information we will need:

  • The last two years of treating physician records
  • Prescription drug printout from claimant’s pharmacy
  • #1 DOWNLOAD

    Click the circle icon above to open the form in a new window. Use the download button in the upper right corner to save to your desktop.

  • #2 FILL OUT

    Once you've downloaded the intake form, fill it out to the best of your ability with the information requested. You'll be submitting it separately.

  • #3 SEND

    Send the form directly to your Saber Solutions contact, along with the information we need listed above these steps. We'll take it from there!

Still need a contact at Saber Solutions? Reach out to us today!