Referral Form

State Accident Fund of South Carolina

To Begin a Referral Fill Out the Form Below


To download a PDF version of this form click here.



Your Primary Onboarding Support:


Carol LaFollette

National Sales Director
Phone: 818-730-8539
Email: clafollette@medivest.com

Cortney Perez

Sales Support Specialist
Phone: 877-725-2467 x 7014
Email: cperez@medivest.com


Reference Materials

Product and Service Flyers

Reference Videos


Medivest_Long_White

For the latest news, updates, and commentary on Medicare Secondary Payer issues visit the Medivest Blog. Read up on these current topics being discussed:

Copyright by Medivest 2023. All rights reserved.