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Redefining Personalized Care.

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PATIENT PORTAL
Redlands OBGYNRedlands OBGYN
  • HOME
  • SERVICES
    • PREGNANCY
    • GYNECOLOGY
    • ROBOTIC SURGERY
  • PATIENT CENTER
    • NEW PATIENT FORMS
    • PATIENT PORTAL
    • EDD/FMLA & DISABILITY PAPERWORK
    • OFFICE POLICIES
    • ACCEPTED INSURANCES
    • FAQ’S
  • ABOUT US
    • PROVIDERS
  • CONTACT US

EDD/FMLA & Disability Paperwork

As you prepare for your upcoming medical or maternity leave, we’re here to support you every step of the way. Our office offers assistance in completing your EDD disability and third-party leave paperwork, ensuring it’s processed accurately and efficiently.

EDD Disability Paperwork Instructions

To file for State Disability Insurance (SDI) through the California Employment Development Department (EDD), follow these steps:

1.

Visit: www.edd.ca.gov

2.

Create or log in to your account.

3.

Apply for Disability Insurance.

4.

Physician Name: Dr. Samir Hage.

5.

Once completed, copy your Receipt Number (R#).

6.

Submit your R# to our office so we can complete the physician portion of your claim.

How to Submit Your Forms

Please submit your paperwork to our office using one of the following methods:

📧 Email: [email protected]

📠 Fax: 909-748-6095

🏢 In Person: Drop off at our front desk during business hours

This applies to:

*EDD forms

*FMLA / Short-Term Disability forms

*Third-party insurance paperwork

Filing Fees

We charge a small administrative fee to cover the time required to review and accurately complete your paperwork. Fees must be paid before paperwork is processed.

NEED HELP?

We are happy to help you through the process.

📞 (909) 748 – 6065 ext. 100
✉️ [email protected]

Thank you for trusting Redlands OBGYN Associates with your care. We’re here to support you during this special time.

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ABOUT US

We are committed to providing you with the best women’s healthcare available. We address women’s unique concerns by providing the most up-to-date, accurate information about women’s health and we are here to answer all your questions!

Credentials:
Samir E. Hage, D.O. 20A7233 Doctor of Osteopathic Medicine (D.O.) Western University of Health Sciences 1997

FIND US HERE

Dr. Samir Hage
REDLANDS OBGYN

Address

255 Terracina Blvd Suite 202,
Redlands CA 92373

CONTACT US

Main Office: 909.748.6065

Fax Number: 909.748.6095

Email Address: [email protected]

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