Reinventing Health Care Choices.
Below you will find a Contracting Request Form. Please complete the form and email (firstname.lastname@example.org) fax (469-362-1314) back to me. Once received, our upline will upload the information to Sircon. You will be sent a link to get a password so that they can complete contracting through a secure site. The Rules of Engagement will still apply and I have attached those as well.
**PLEASE NOTE THAT AGENTS CANNOT GET THEIR AGENCIES CONTRACTED. **