We are required by law to get a Scope of Appointment Consent Form completed for anyone who wishes to receive a consultation call.
This simply gives us your permission to discuss your Medicare options. There is no obligation to purchase insurance by signing this form. We are required to keep a current copy of this form on file. If you have not completed a consent in the previous 90 days, please complete and return prior to our scheduled call.
INITIAL, SIGN & DATE where highlighted. Return to HTA by fax, email, or mail.
- Fax: 610-430-6652
- Email: Medicare@HTAfinancial.com
- Mail: 347 N Pottstown Pike, Suite 200; Exton, PA 19341
We look forward to speaking with you soon!