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Complete these questions and get a customized, timely response from prescreened and member referred Lawyers that are interested in working with you. You choose the Lawyer that best meets your needs. No Cost.
1) Please indicate how you would prefer to to pay for the services of an attorney, should you hire one to help you with your legal matter. Note: there is no charge to sumbit your request.  [required]
Hourly Rate
Flat Fee
Not Sure
2) Who is seeking Medicaid coverage?  [required]
3) How old is the person seeking Medicaid coverage?  [required]
4) Which of the following describe the person seeking Medicaid coverage? Check all that apply.  [required]
Family with Dependent Children
Low Income
None of the Above
5) In what state is the person seeking Medicaid coverage located?  [required]
6) What medical services are needed? Check all that apply.  [required]
Clinic Services
Dental Care
Foot Care
Hospital Services
In-home Nursing Care
Laboratory and X-ray Services
Medical Equipment
Nursing Home Care
Optometry Services
Physician Services
Prescription Drugs
Rehabilitative Services
Transportation to Receive Medical Care
7) Has a claim for Medicaid coverage been made already?  [required]
Yes  No
8) If so, was this claim denied?
Yes  No
9) Comments or Details:

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12)Email Address: [required]
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