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SCOPE OF APPOINTMENT CONFIRMATION FORM

Please check what you want to discuss with the Licensed Sales Representative.
Thank you, your scope of appointment has been submitted. Please close your browser.
Your broker will get in touch with you soon.

We'll Discuss your selected product(s).

Make sure you have the the following for our meeting:

 
  • Medicare Card
  • All medications
  • List of all your current physicians along with their phone numbers and addresses
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