This Walkthrough is designed to take you through the steps of creating a new request. 1) Navigate to the website that is pertaining to your request.
● If you are starting a new FMLA or Disability request, click Start a New Request ● If you have forms that need to be updated, click Fix My Form (You will need your confirmation number that was emailed to you when you finished your original request.) ● If you need an extension on your current request, click Get Follow-up Form (To complete this process, you will need to have all forms given to you for follow up, and the confirmation number that was emailed to you when you finished your original request.)
2) Once you have clicked on Start a New Request, select the location that you received care and click the ‘Next’ button on the bottom right.
3) Upload your forms here. Once they are uploaded, you will be able to click next to continue.
*Please note, the only formats we accept are PDF, PNG, JPEG, and HEIC, All forms must be combined into a single file, and they cannot exceed 20 MB.
4) Once you click ‘Next’, please fill out the form. Everything with a red asterisk will be information you will have to fill in:
5) When you get to the ‘Delivery’ portion, please make sure to select how your forms need to be delivered and add the necessary information:
6) On the ID Page, you can either take a picture of your Driver’s License or Passport and upload it using the ID Upload, or you can allow the website to access your camera, (if applicable), and take the photo, and upload it automatically.
● Your image must be in a JPEG or PNG format.
● Your image must be under 2 MB in size.
7) After your ID is uploaded, click the Upload button. The next screen is the HIPAA Authorization Release page. Please read everything carefully, check the boxes, add your signature, and click ‘Next’:
8) After clicking ‘Submit’ on the confirmation screen, you will be taken to the payment screen. Please enter your payment information and click ‘Pay’:
9) You will get a confirmation on the next page and you’re done.
*Please allow 5-7 Business days for us to process your documents.
If you have any questions, please feel free to email healthforms-support@datavant.com
*When you get your confirmation email, save the confirmation number. You can use it to check status of your paperwork at any time by checking our status tracker located here: https://healthforms.datavant.com/status