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Click ‘Get Form’ to open the 2017 Silverscript Scope of Appointment Form in our editor.
Begin by reviewing the product types listed. Initial beside each product you wish to discuss with your agent, such as Medicare Advantage Plans or Stand-alone Medicare Prescription Drug Plans.
Next, provide your signature and date in the designated fields. If you are signing on behalf of someone else, include your name and relationship to the beneficiary.
Fill in the agent's details including their name, phone number, and address. Ensure that all beneficiary information is accurately completed as well.
Finally, review all entries for accuracy before saving or sending the completed form. This ensures compliance with CMS requirements.
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