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Medical Leave Requests

Medical Leave Request

Welcome to the Medical Leave Forms Request Center for requesting FMLA, Disability Insurance, Paid Family Leave, etc. Thank you for allowing us to assist you with your leave paperwork. To ensure timely and accurate processing of your documents, please complete this form in full. Please allow up to 2 weeks for leave processing from the date this form is submitted to our office. If you have any questions, please get in touch with our office.

If you have any questions, additional requests, or attachments to be included from yourself or your employer, please email manager@lakshmiobgyn.com with all your requirements and attachments.

Lakshmi Sathya MD

305 South Dr. Unit #4

Mountain View

CA 94040

CONTACT

Tel : (650) 666-0033
Billing Only: (650) 864-4700
Fax: (650) 300-4647

 

OFFICE HOURS

Monday - Friday:
9AM - 3PM
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