Download Intake Packages

Please download, fill out, sign and return the appropirate intake package to so we can begin assisting you and your firm.

  1. ERISA, FEHBA or Medicare Advantage Lien Resolution
  2. Medicare Conditional Payment Resolution
  3. ERISA Plan Review with/without Memo of Law

1. ERISA, FEHBA or Medicare Adv. (docx)


2. Medicare Conditional Payments (docx)


3. ERISA Plan Review (docx)


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The Place Firm, PLLC

(270) 370-3317


Open today

08:30 am – 05:30 pm