Julie@MyTCBenefits.com | 636.489.2770 | Warrenton, MO
Julie@MyTCBenefits.com | 636.489.2770 | Warrenton, MO
Use this link below to provide us your current doctors (to include optometrist and dentist), hospital, and pharmacy preferences.
Use the drop down selections to enter your ongoing medications.
You will also be asked to complete your Scope of Appointment at the end of the form. Please initial all categories you wish to discuss in your meeting. When in doubt, initial all four.
TIP: When typing in doctors, please include full name followed by the address of where you see your doctor and the type of doctor. example: Dr. John Smith - 101 Main Street, Wentzville MO 63385 - Cardiologist