Lesa Inglis Insurance | Dallas, GA
Scope of Appointment

Scope of Appointment

This Scope of Document allows you to decide what Medicare and other healthcare products you would like to discuss. This will not enroll you into anything or obligate you in any way.

Once you click the “submit” button, you will be able to enter any prescription medications you need covered. In addition, you will be able to enter a list of doctors you currently see. All information is submitted via HIPAA compliant means.

If you are a current client, please do not simply say, “Nothing has changed.” Information becomes obsolete quickly and failing to provide complete and accurate information can leave you without needed coverage. Please call (770)970-0312 if you have any questions.