Referral Information - OccuDoc Live

How to Submit a Referral to OccuDoc Live

Submission Methods

  • ✓ Email to: referrals@occudoclive.com (quickest method for submission and patient scheduling)
  • ✓ Fax to: 813-330-3332
  • ✓ Mail to:
    5205 Marina Pacifica Dr N. #21
    Long Beach, CA 90803
Interested in Self Scheduling?

OccuDoc Live has an online scheduling solution that allows you to book appointments on behalf of the injured worker.

Apply Today

Include the Following

Required for Scheduling Optional
Include if available to expedite completion of patient intake
Patient Demographics
• Patient Name
• Patient Phone
• Patient DOI
• Claim Number
Claims Administrator
4600 Letter
Patient Demographics
• Patient DOB
• Adjuster/Claims Examiner
Primary Treating Physician (PTP) Authorization
Medical Records

What's Next?

Step 1:
OccuDoc Live contacts patient and schedules first appointment.
Step 2:
OccuDoc Live notifies your team that the patient has been scheduled.
Step 3:
OccuDoc Live reaches out to adjuster for any information required to complete patient intake.

We're Ready to Help!

Submit your referral today:
Email: referrals@occudoclive.com
Fax: 813-330-3332
Phone: 559-388-5675

OccuDoc Live
California's Trusted Telehealth PTP Network for Injured Workers