Choose a convenient time
Book an appointment
Schedule telephone or online screen-sharing guidance using the agency’s existing scheduling service.
Protect your information. Do not send Social Security numbers, Medicare numbers, financial information, or medical records through ordinary email or social media. Use only an approved secure process provided by the agent.
Request an appointment
Everything except your name and phone number is optional.
Appointment request form
Place your form plugin shortcode here — for example or [fluentform id="1"]. Fields to collect: name, phone, email, ZIP, topic, best time to call, notes. Style it with the .form-grid, .field, .input and .btn classes.
By submitting the form a visitor is asking a licensed insurance agent to contact them about insurance. Keep that sentence above the submit button.
Scheduler goes here
Calendly embed placeholder
Drop the Calendly (or Acuity, or Microsoft Bookings) inline embed script in place of this block and clients can pick a live open slot themselves.
Calendar widget
Have these handy for the call
- Your Medicare card, or your 65th birthday date
- Your prescriptions — name, dose, frequency
- The doctors you want to keep
- Your preferred pharmacy
Personal guidance · No additional fee
