Welcome to the HMS document submission web portal. If you received a letter from HMS providing a questionnaire requesting additional information regarding medical services that you or a family member have received, you may submit your responses to the questionnaire by selecting the appropriate option below.

Electronically submitting your questionnaire may expedite the processing of your information.

 

Language Selection

Please select your language: 

Preferences

Please select the member's state: 

Please select your language: 

Preferences

Client/Project/State: 

Type of Organization: 

NOTE: If you do not see the correct organization type listed, please submit your request by email or contact us at the number above.

State selection

Please select the state: 

Client/Project/State: 

State selection

State: 

Preferences

Client/Project/State: 

NOTE: If you do not see your client listed please contact us at the number on the correspondence that you received from our office.