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What do we need for a referral?

  • First Report of Injury – if available.  If not then please send as much demographic information as possible. We at least need the DOB, SSN and a contact phone number…although we have started files without them! 

  • Signed Panel C42 with the choice of an authorized physician.  If you need a panel, then we will provide you with a recommendation.  We will follow up with the injured worker to obtain their choice and schedule the appointment as soon as possible.

  • Medical records if you have any available.  We will obtain if you do not.

  • That is absolutely all we need to get started! 

Referal Form
Upload First Report Injury
Upload supported file (Max 15MB)
Panel C42 if Available
Upload supported file (Max 15MB)
Medical Records if Available
Upload supported file (Max 15MB)

Questions about our services 

Fill out the form below and we will give you a call to discuss!

Thank you for requesting additional information from Arete Consulting! Someone will respond to your inquiry within 4 business hours. If you do not receive communication within 4 business hours, or if you have questions, please reach out to us at 731.420.4924, Extension 1.

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Office – 731-420-4924  

Fax - 855-331-7277

Email - referrals@areteconsultingllc.net

Website by ExpressionSolutions.com 

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