Nationwide Workers' Comp Ancillary Services — All 50 States
(800) 231-9311Orders@HealthCareComp.com
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Submit a Workers' Comp Referral

Fill out the form below and your dedicated Care Coordinator will reach out within hours to confirm and begin service coordination. You can also email, fax, or call us directly.

Upload a Document to Extract Patient Info
Drag & drop or click to upload — we'll extract patient details so you can fill the form faster
First Report of Injury Prescription Demographics Sheet Medical Records
Choose File
This form is HIPAA-compliant and transmitted securely via Google Workspace under an active Business Associate Agreement (BAA).
Patient Information
Services Requested
Claim & Insurance Information
Referring Professional Information
Your name, title, phone & email only — no patient data is ever saved

Attach Documents

Attach supporting documents to be included with this referral email — medical records, authorizations, prior approvals, etc.

You can select multiple files. The first file will be attached to the email; additional filenames will be listed in the notes.

Your information is submitted securely. A coordinator will contact you within hours during business hours. For urgent needs, call (800) 231-9311 directly.

Prefer to Call or Fax?

Our coordinators are ready to take your referral by phone, fax, or email — whichever is easiest for your workflow.

Call (800) 231-9311
Our Offices

Florida (Headquarters)

HealthCare Comp LLC
530 South Ronald Reagan Blvd, Suite 132
Longwood, FL 32738

California

HealthCare Comp LLC
251 N City Dr, Suite 128F
San Marcos, CA 92078

What Happens After You Submit
  1. Your referral is received and assigned to a dedicated coordinator
  2. Your coordinator reviews the case and contacts you within hours
  3. We confirm service details, begin provider coordination, and set timelines
  4. Services begin — you receive documentation updates throughout
Services We Coordinate
  • Durable Medical Equipment (DME)
  • Home Health Services
  • Home Modifications
  • Complex Care Coordination
  • Complex Care Coordination
  • IV Infusion Therapy
  • Wound Care Services