Help Desk
Website
Help Desk
Submit a ticket
Telemedica
Submit a Support Request
Required fields are marked with
Name:
Email:
Veteran Name:
Veteran Email:
Veteran Phone Number:
By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. You can reply STOP to opt-out of further messaging.
I understand and agree
I do not consent
To view the Privacy Policy, copy and paste this link into your web browser https://telemedicallc.com/privacy-policy:
Acknowledged
Service:
- - Click to Select - -
DBQ
Medical Evaluation
Nexus Letter
Psych Evaluation
Psych Rebuttal Letter
Nexus Rebuttal Letter
Other
Provider:
- - Click to Select - -
Angela Venda PsyD
Caileigh Peters, PsyD
Chad Retzloff PA-C
Charla Lewis, PhD
Crystal Frazier, PsyD
Daniel Olivero, MD
Erik Levy PsyD
Erin Mennig, PsyD
Felicia Fisher-Green, PhD
Franklyn Laracuente PhD
Hannah Mathews PA-C
Jacqueline Herrera, PsyD
Jonathan Rapp, PhD
Johnny James
Kristen Fromal, PA-C
Laura Schwerin, PhD
Lindsay Lyon, PA-C
Monica Esquivel, PA-C
Nancy Reeves PA-C
Nicole Kelly, PsyD
Rachel Gratz PA-C
Randy Vena FNP-C
Reed Vierra, PsyD
Sabrina Vizzini PA-C
Sarah Schopbach, FNP
Sarah Zwetzig, PsyD
Sehrish Tariq PsyD
Shannon Henslee PA-C
Shervon Robinson, PA-C
Sheena Glover, PsyD
Tameka Pickett, PsyD
Tara Thompson PA-C
Titus Hamlett PhD
Trevor Boon PsyD
Customer Service
Other or Unknown
Exam Date:
Issue Type:
- - Click to Select - -
Cancellation
IMO Revision - Clerical Error
IMO Update - Factual Correction
IMO - Status/Upload
Billing
Request for rebuttal letter
Scheduling or Rescheduling
Symptoms Not Accurately Reflected
Quality Assurance Review
Escalation
HIPAA
VACI Issue
Other
PQAR
Veteran Coach Name:
Message:
Attachments:
Maximum 4 attachments