Secure Rebill Request Upload

Please use this secure upload form to submit rebill requests or supporting files that may include patient information or other sensitive details.

Please do not include patient information in regular email. Once your upload is submitted, our Accounting team will be notified.
Please include the job number, invoice number, or account reference in your file name before uploading. This helps our team identify where each document belongs. Please avoid including patient names, dates of birth, or other patient details in the file name.
Example: 123456_rebill_request.pdf

If the upload form does not load, open the secure upload form directly: Continue to secure upload