Preparing for your upcoming evaluation?

Complete & Return Your History Form

You must complete and return the enclosed history questionnaire 2-3 weeks before your appointment. Answer all questions thoroughly for all dates of injury and body parts related to your workers' compensation claim.

​

Return Methods:

• Email: records@adelbergassociates.com (preferred)

• Fax: (916) 777-2072

• Mail: Main office address

 

Important: Bring the original completed form to your appointment.