Referring injured workers is easier than ever
Step 1
Fax the Report of Accident (ROA) Form to our secure fax number: 253-864-2764.
Step 2
Please print our referral one sheet and circle the location where you are referring your patient. Provide that sheet to the patient and ask them to contact us to schedule their appointment.
Referral resources
Contact us
Should you have any questions, please contact our team.