Forms / Request Forms

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.

Biomechanical Analysis

Bill Review, PPO, Fee Negotiation

Medical Bill Fee Negotiation Form

Peer review form

Submit Claims for Review

By mail:

AMBR
PO Box 492710
Redding, CA 96049

By Fax:

530.224.3390

By Email:

Claims Department

By Secure Web Site:

Secured by state-of-the-art Internet encryption technology For a secure method of communication and data transfer, contact AMBR to gain access to our secure file transfer and messaging page.