Case Management Referral

If you would prefer to call and speak with someone at CompAlliance directly, please feel free to call us at 913.310.9800 or you may email us at
Step 1
Referral Information

Step 2
Work & Injury Details

Step 3
Employer Details

Step 4
Physician Information

Step 5
Services Requested

Step 6
Attorney Information

Step 7
Referral Source Information

Step 8
Final Step

Step 1: Referral Information