Register for a Woodlake Medical Account

Name*
First Last
Username
Email*
Enter Email Confirm Email
Company Name*
Address*
City*
State*
Zip Code*
Phone*
Fax
Are you a doctor?*
- No
- Yes
General Preferences
On our order form there are several questions that you can set a general preference for here on the registration page. You will always be able to modify them on any given service request, but a general preference set now may help to speed the process of submitting a service request.
Please select the job title that best reflects your position:*
- Attorney
- Claims Representative/Adjuster
- Claims Supervisor
- IME Coordinator
- Legal Secretary
- Medical Director
- Medical Only Claims Representative
- Nurse
- Nurse/Case Manager
- Paralegal
Would you like Woodlake to send notification to the claimant and/or their attorney?
- Please always send notice on my behalf. (You will be able to select who the notice goes to during the ordering of your service.)
- I would always like to be asked if Woodlake should send notices on my behalf.
- I will always send notice myself, Woodlake does not need to send notice.
Would you always like Woodlake to remind the claimant and/or their attorney of an evaluation?
- Yes, please place the call the appropriate person for me on each service.
- No, please ask me for each service.
- This does not apply to me.
Would you always like Woodlake to send a mileage check for any applicable service?
- Yes, please send one every time, no need to ask.
- No, please ask me for each service.
- This does not apply to me.
Any mileage sent to the claimant will be added to your final invoice for the service.
Do you pre-authorize x-rays to be taken as part of the independent evaluation?
- The doctor always has permission to obtain x-rays he/she deems necessary for the service.
- Please call me for approval if the doctor requests any type of diagnostic studies.
- This does not apply to me.
Cover Letter Preference:
- I will always submit my own cover letter.
- I would like Woodlake to always write a cover letter for me.
- I would like Woodlake to write a cover letter on a per case basis for me.
- I would like to use Woodlake's check off form or my own form.
Would you like Woodlake to obtain copies of diagnostic studies for your services?
- Yes, if you find imaging reports in the medical records, please obtain the studies for me for a fee.
- If you find diagnostic studies in the medical records and the doctor requires the studies to complete the service, please obtain those studies on my behalf for a fee.
- I would like to be contacted on a per case basis when there are diagnostic studies noted in the medical records.
- Never obtain diagnostic studies on my behalf.
- This does not apply to me.
Please let us know which states you handle claims for:*
- AZ
- IA
- IL
- IN
- KY
- MI
- MN
- MO
- ND
- SD
- WI

	Phone: 952-253-6600 PhoneToll Free: 1-800-804-4008 Medical Records Direct: 952-253-6603
	Fax: 952-253-3900 Medical Records Fax: 1-888-645-1230

Account Registration

General Preferences