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
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.
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!