Send Us A Referral

Send us a referral using our electronic webform below. For Transitional Return To Work referral, please click here.

Stubbe & Associates 14525 Highway 7, #205 Minnetonka, MN 55345 Toll Free Fax: 1-877-578-8223 Toll Free: 1-800-478-8223 EMAIL US: [email protected]

  • Use our easy online e-Referral form below. If you have only a paper copy of the "first report of injury" you can FAX that toll free to: 1-877-578-8223

  • NOTE: Be aware that you will see a "Confirmation or Success page" only after a successful submission. This confirmation page will only confirm that your submission was sent and does not confirm "receipt". Email is not foolproof and some large attachments can be problematic so we highly recommend that you always confirm receipt within one business day by calling Linda at (952) 474-7141.

  • Add attachment (First report of injury). Only PDF or Microsoft Word RTF files can be uploaded. The maximum file size that can be sent through our ereferral system is 750k (0.75 MB). Please FAX claims that exceed this.

  • Upload Files *With a maximum size of 15MB each file.
  • Accepted file types: pdf, doc, docx, rtf, Max. file size: 15 MB.
  • Accepted file types: pdf, doc, docx, rtf, Max. file size: 15 MB.
  • Accepted file types: pdf, doc, docx, rtf, Max. file size: 15 MB.
  • This field is for validation purposes and should be left unchanged.