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If you are applying for a leave of absence from your place of work either because of your medical condition or to assist a family member with their medical condition, you will need to complete paperwork for a Short or Long Term Disability claim from an insurance provider, or for the Family Medical Leave Act (FMLA). Your request will be processed by a Disability/FMLA Coordinator at Dana-Farber in the Health Information Services department (HIS).
For Disability, HIS requires:
For FMLA, HIS requires:
Send all paperwork by mail, fax, or email to Health Information Services:
DFCI HIS Correspondence 27 Drydock Ave., 4th Floor Boston, MA 02210 FAX attn HIS: 617-394-2647 Email: email@example.com
HIS will coordinate with your physician to provide your insurer/employer with the information necessary to process your claim/leave request.
If you have any questions or would like an update on the status of your request, please call the Disability/FMLA Coordinators at 617-632-2955 (Select OPTION 1 after the prompt). Please allow 5 to 7 business days for your request to be processed.
Please note: Requests for Medical Records are processed separately. HIS will forward requests for medical records to the appropriate department. Get complete Medical Records information.
For the status of your medical records request, please call 617-481-0541.
New Patient Appointments
For adults: 877-442-3324For children: 888-733-4662