check

Upload Medical Record

Please click the start button if you have a medical record to upload.

***FIles over 10MB will not be accepted

***Acceptable file types---Zip Archive (.zip)-Microsoft Word Document (.doc)-Microsoft Excel File (.xlsx)-Microsoft PowerPoint (.pptx)-PDF File (.pdf)-Rich Text Format File (.rtf)-Plain Text File (.txt)-GIF Image (.gif)-JPEG Image (.jpeg, .jpg)-PNG Image (.png)

 

Click the button below to start.

Start

Question 1 of 1

Please upload any medical records.

file_upload
insert_drive_file

Confirm and Submit