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Appointment Reserved

Welcome to Your Appointment Packet

Thank you for scheduling your consultation with Michelle Heberling. Please complete this packet before we meet so I can prepare for the questions and concerns most important to you.

Step 1 of 4
1
Welcome
2
Questionnaire
3
SOA
4
Submit

Your appointment is reserved

I am looking forward to meeting with you. Completing this packet is the final step needed to confirm your appointment.

It should take approximately 5–10 minutes.

Why am I completing this?

  • Helps me understand your current situation before we meet.
  • Allows me to prepare for the questions most important to you.
  • Completes required Medicare documentation before discussing plan-specific information.
  • Helps us make the best use of our appointment time.

What you will complete

  • A brief pre-appointment questionnaire.
  • An electronic Scope of Appointment form.
  • Optional document uploads, when applicable.
  • A final review and confirmation.

Recording notice

To help ensure accuracy, maintain required documentation, and comply with Medicare rules, Medicare-related calls and appointments may be recorded.

At the beginning of our appointment, I will let you know when the recording begins and ask for your verbal consent before we proceed.

Your recording will be securely stored as part of your confidential client file.

Before you begin

Please have the following available, when possible:

  • Your Medicare card, if you already have one.
  • Your current health insurance card or cards.
  • A list of your prescription medications.
  • The names of doctors or healthcare providers you want to keep.

Do not worry if you do not have everything available. You can still complete the packet and attend your appointment.

Let's Get Started →
🔒 Your information will be reviewed before your scheduled appointment.