In response to the COVID-19 situation, OCLI is following enhanced safety protocols consistent with guidelines put forth by the CDC and the World Health Organization (WHO) to protect our patients and colleagues. Click here to learn about how we are keeping you safe.

DMV, Disability, and Workers Compensation Form Request

If inquiring about the DMV form, disability form, or workers compensation form, please download, complete, and submit the form to the appropriate office using one of the following methods:

  1. Mailed to the office
  2. Dropped off to your office location
  3. Faxed to your office (fax numbers can be found on the Locations page)

The office will call you to provide an update regarding the status of your forms.

Please make sure you complete the patient portion of the form prior to submission. Please allow 5-7 business days before following up.

Status request

If you have already submitted a form for completion, you can fill out the request form below, asking for follow up or status update on your forms.

* required