Official Patient Forms

Below, you will find some of the forms and examples of forms we use throughout the process.  To start the Montana Medical Legal Panel process you must complete and sign the Application for Review of Claim Form and the Authorization for the Release of Medical Records form.

Submit the completed forms to the MMLP Executive Office at

2021 Eleventh Ave, Suite 1

Helena, MT 59601

Email: mmlp@mmaoffice.org

Fax: (406) 443-4042