FMLA/Disability Forms

Raleigh Neurosurgical Clinic has partnered with Sharecare to fulfill your requests for medical leave/disability form processing.

Raleigh Neurosurgical Clinic 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 current patient and need to submit a request for an FMLA or short term disability form to be completed, please click on the link below to upload your blank form. Please note, there is now a $35 processing fee per form that must be paid directly to Sharecare prior to the form completion. Once you have submitted your form, Sharecare will contact you within 48 hours to collect payment. Once payment is received, the form is completed and delivered within 5-7 business days.