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Medicaid Initial Consultation Reservation Request

Welcome to our Medicaid Initial Consultation Reservation Request information and registration page of our Medicaid/Nursing Home Protector™ program. You will be able to schedule a private consultation with us on this page by filling out the form below. We hope you will find this material informative about the different services and protections we can provide to clients who are in need of these services.

IN EMERGENCIES CALL: (800) 660-7564 (24 hours/day 7 days/week)

Overview

We provide a free 45 minute Medicaid Initial Consultation to clients, their friends, and their families at their request. You are under no obligation to proceed with our Medicaid/Nursing Home Protector™ program following this first meeting. If you wish to engage our law firm, you will be provided an opportunity to do so.

During your Medicaid Initial Consultation, you will learn ............. .

Refer a Client

If you are interested in referring a client to our office or if you are interested in a free initial consultation, please fill out the information below to reserve an appointment date and time.

You may email this page to a friend.

Reserve Your Appointment for: MEDICAID INITIAL CONSULTATION

NOTE: This is a one-on-one meeting with our Elder Law Division Team Members. You and your family members will be provided with an informational overview of what you can expect to happen during either the pre-planning or crisis planning circumstances you are currently in. You will receive written confirmation of the date and time of your consultation plus our Medicaid Welcome Kit along with a map to our office.

If you do not show up without a 48-hour prior courtesy notice to us, you will not be permitted to re-register.

You will be introduced to our Medicaid Protector Pathway™ program that will guide you through the rules and regulations you will need to follow in order to protect your loved one's assets from nursing home seizure.

Please Contact Me for an Initial Consultation!

We will telephone you to arrange a mutually convenient time based upon your selections below:

Best Day(s) for my Initial Consultation is: (check ALL that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Best Times for my Initial Consultation is: (check ALL that apply)
Morning
At Noon
Afternoon

Choose ONE:
Pre-Planning: Your loved one is in an assisted living facility or is in an Alzheimer's unit, or you feel they may be progressing toward a nursing home (skilled nursing care) at some time in the future.

Crisis Planning: Your loved one is on the way into a nursing home or is already in a nursing home and is either running out of Medicare or long term care insurance benefits OR has already run out of those benefits.

Please complete all fields:

Your Name:
Client Name:
Your Status:
Number attending:
Address:
City:
State:
Zip Code:
Telephone #:
Fax #:
Email:
Message:

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