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CVS Caremark fax number

(847) 554-1766

Leave of Absence Department

Used for: Submission of Health Care Provider Certification for the Family Medical Leave Act (FMLA) for a family member with a serious health condition; the form is faxed to the CVS Caremark Leave of Absence Department to initiate/verify FMLA leave.

Fax destination details

Department
Leave of Absence Department
Purpose
Submission of Health Care Provider Certification for the Family Medical Leave Act (FMLA) for a family member with a serious health condition; the form is faxed to the CVS Caremark Leave of Absence Department to initiate/verify FMLA leave.
Form
Health Care Provider Certification for Family Member's Serious Health Condition (FMLA) — Health Care Provider Certification for Family Member's Serious Health Condition (FMLA)

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  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the health care provider and employee sections; fax the completed form to 1-847-554-1766, or mail to CVS Caremark Leave of Absence Department, P.O. Box 1135, Woonsocket, RI 02895.

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