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American Senior Choices
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  • Home
  • Quotes
    • Health Insurance Oregon
    • Health Insurance WA
    • Medicare Advantage Plan Quote
    • Group Benefits Insurance Quote
    • Life & Financial Quotes >
      • Life Insurance Quote
      • Annuity Quotes
      • Disability Insurance Quote
      • Final Expense Insurance Quote
  • Insurance
    • Medicare Advantage Plans - Vancouver Medicare
    • Medicare Supplement Coverage
    • Medicare Part ​D Prescription Drug Plans
    • Medi-Share
    • Mortgage Protection Insurance
    • Group Benefits
    • Life/Financial >
      • Life Insurance
      • Annuities
      • Disability Insurance
      • Final Expense Insurance
    • Dental & Vision >
      • Dental Insurance
      • Vision Insurance
    • Health >
      • Health Insurance
      • Medicare Drug Plan
      • Critical Illness Insurance
      • Long Term Care Insurance
  • Medicare Info
  • Schedule an Appt
  • Contact
  • About
    • About Our Agency
    • Client Testimonials
    • Refer a Friend

  Online Documents ​

Online Insurance Forms/Documents

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Online Insurance Forms
Broker of Record Form
File Size: 18 kb
File Type: pdf
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Medical Statement
File Size: 297 kb
File Type: pdf
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Privacy Notice
File Size: 93 kb
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Statement of No Loss Form
File Size: 70 kb
File Type: pdf
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Cancellation Request/Policy Release
File Size: 19 kb
File Type: pdf
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Medicare Part B Application Form
File Size: 70 kb
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(360) 261-3659
113 NE 92nd Ave
Vancouver, WA 98664
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American Senior Choices
113 NE 92nd Ave
Vancouver, WA 98664
​
(360) 261-3659
Click Here to Email Us

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WA, OR, ID & AZ