Injury Management Organization provides the following forms for your convenience. Please give us as much information as possible, contact us with any questions or concerns at 972.404.8133 or 888.645.1200.

For general information

Click here to complete our e-mail form.

For medical case management referrals

Click here to access our authorization release form.

For pre authorization forms

Click here to access our pre authorization request form, or print a PDF and fax the form to 972.991.5572 or TOLL FREE 888.275.9946.

For IMO Med-Select Network information

For any questions regarding the Network contact us at netcare@injurymanagement.com or by calling the Network Main Line: 214-217-5939 or 888-466-6381

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