Myteamcare org 2026

1. Click ‘Get Form’ to open the myteamcare org document in the editor.
2. Begin with SECTION 1 – PARTICIPANT’S INFORMATION. Fill in your Participant ID, Full Name, Date of Birth, and Complete Address. If your disability is accident-related, provide details about the employer, date of the accident, and how it occurred.
3. In SECTION 2 – PHYSICIAN’S STATEMENT, have your physician complete the required fields including Patient’s Name, Date Disability Began, Diagnosis, and treatment plan. Ensure they sign and provide their contact information.
4. Move to SECTION 3 – EMPLOYER’S STATEMENT. Your employer must fill in details regarding your last day compensated and return-to-work dates. They should also indicate if a Workers’ Compensation claim has been filed.
5. Once all sections are completed, review for accuracy. You can then submit the form by mailing it to TeamCare or faxing it as indicated at the bottom of the document.

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