FMLA/Disability 

Nebraska Orthopaedic Center, PC has partnered with MedRecs Management to fulfill your requests for FMLA/Disability forms completion.

Nebraska Orthopaedic Center, PC is committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.

If you are a patient, employer, or disability company requesting an FMLA or Disability form to be completed, please follow the instructions below. 

FMLA paperwork requires the NOC treating physician to complete. Please do not take to your Primary Care Physician (PCP) for completion. While your PCP is very familiar with your care, for current treatment and liability reasons, the NOC physician is your source for information related to this issue. 

To complete a disability/ fmla ForM:

1.Please click the link below to begin the disability/FMLA form process; Please DO NOT bring forms to the practice to turn in. 

2. Make sure to have your disability or FMLA form with you BEFORE logging in! (You should have received these forms from your disability carrier or employer). No forms are provided on this link.

3. Normal turnaround time to receive your completed form is 5-7 business days from payment. There is an additional fee for expedited requests. Forms not submitted through this link could result in a slower turnaround.

4. You will be asked for payment on this page as well. The cost is $30 per form, $15 for an updated form and $50 for an expedited request (guaranteed 3 day turnaround).

5. FMLA and Disability forms cannot be completed on the same request. These forms must be submitted separately.

6. For any further questions, please contact us via text or phone call at (402)218-2535. Text messages will provide a quicker response.