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Medicare A & B enrollment Clinic
First Tuesday of each month; 3-5pm
We will help you enroll in Medicare A & B!
Bring:
photo ID
username and password for your email account
username and password for your SSA.gov account OR a smartphone with texting and camera capabilities
*
1.
Full Name
(Required.)
*
2.
In the unforeseen event the workshop must be rescheduled we will contact you. What is your...
(Required.)
Email Address
Phone Number
*
3.
Which Tuesday will you be coming? (We recommend at least 2-3 months before you need Medicare to start).
(Required.)
May 5, 2026
June 2, 2026
July 7, 2026
August 4, 2026
September 1, 2026
October 6, 2026
November 3, 2026
December 1, 2026
January 5, 2027
February 2, 2027
March 2, 2027
April 6, 2027
4.
Do you have any specific questions you would like addressed during this clinic?
*
5.
How did you hear about this clinic?
(Required.)
Send me a copy of my responses via email