Welcome to Self-Scheduling
You're All Set!
To ensure smooth and timely patient intake, please email or fax all required patient information to referrals@occudoclive.com or fax 813-330-3332 when scheduling an appointment. Required information includes:
• Patient demographics
• 4600 Letter
• Medical records and claim status with accepted/delayed body parts (preferred)
Scheduling without complete patient information may result in delays in patient intake and appointment confirmation.
⚠️ Important Notice: We are currently only accepting patients who reside in California.
Your Resources
This template helps request a confirmed list of Medical Provider Network (MPN) physicians who are available and willing to treat your client as the Primary Treating Physician. It is designed for use when the Medical Access Assistant (MAA) provides an MPN list containing physicians who are not accepting the referral.
Questions or Need Help?
We're here to support you. Reach out anytime:
Email: referrals@occudoclive.com
Phone: 559-388-5675
Fax: 813-330-3332