For State Farm please use the following forms



All TeleEMC State Farm patients are now referred to Reiter Ortho (reiterortho.com).

Patients are seen by Reiter Ortho’s physicians via telemedicine on the Doxy.me platform, and progress notes will be sent to your office as you’re used to. For help with appointments or forms, call TeleEMC at 866-611-4EMC (4362).

Download Forms

PIP EMC Form
Download printable PDF of the paperwork (Español | Kreyol )

Online Forms

EMC Registration FormReiter Ortho New Patient Packet online (Español | Kreyol)

Minor Consent

EMC Form
Click for Minor Children EMC Patient Form