Upload any supporting documents to support your referral.

Information we will need:

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

 

Directions for Downloads

  • Click on the download button (Down facing arrow in the square at the top of the form)
  • Fill out and submit the intake form separately, save, and send to Saber Solutions via upload button below.

 

Upload files
 
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