Please note that University Physicians, Inc. is now doing business as University of Colorado Medicine (or "CU Medicine").

MLC - Medical-Legal & Consulting Billing Form

Created:   | Updated: 10/19/2017
Use this form for Medical-Legal & Consulting billing.

New Features

• There is a drop down for the type of service so you can enter multiple lines if necessary.
• If you have a type of service not listed, you can select “other” and type it in.
• There is an auto-adding total charge.
• Provider signatures are acceptable as TYPED or DIGITAL signatures if submitting by email.