If you would like to send us a claim for review, click on the appropriate form, print, fill out completely, and attach to the file.

Please Note:  In order to open forms, you must have Adobe Acrobat Reader.  You can download it here.

• Bill Review, PPO, Fee Negotiation: - Cover Sheet 

• Record Review/IME Request: - Review Request Form

• Medwatch Referral: - Medwatch Referral Form

• Bio- Mechanical Analysis: - BMA Cover Sheet

• By mail:  AMBR, PO Box 492710, Redding, CA 96049

• By Fax:  530.224.3390

• By Email:  Claims@ambr.com