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(919) 390-1880 or toll free (888) 985-0014

Health Questionnaire Form


This is the general health questionnaire form. 

1. Please download and print the form

2. Return it to us in 1 of 3 ways.
    A. Please scan or send a photo of the pages and email it to the manager you're working with
    B. Send it to our secure fax server at 919-400-4252
    C. Mail it to us (slowest method) at:
          Medicare Experts
          5448 Apex Peakway, Ste 303
          Apex, NC 27502

 

Health Questionnaire Form  - click here


 


 

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