Web Form

Live Call Lead Post

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I am calling from the Chronic Condition Support Group.

We connect people with chronic conditions to a Medicare-paid medical service to help them manage their condition and live better.

FAQ

You filled out a form with one of our marketing partners and identified yourself as a diabetic or person with hypertension.

You would still see your doctor but this medical service can provide your doctor with better information about your day-to-day experience with your condition.

Each patient get's a free blood sugar meter or blood pressure cuff that transmits their measurements to the medical team. They do analysis, answer your questions, and make suggestions via calls and texts to help improve your numbers. They can also share this information with your primary doctor.

This service is paid for by Medicare. There is no co-pay for those that qualify.

If you qualify I'll connect you with the provider who can answer all of your questions.

First Name: *

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Last Name: *

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Email: *

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Phone Number: *

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Alternate Phone Number:

Address Line 1:

Address Line 2:

Zip Code: *

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State: *

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City:

Background Information:

Date Of Birth *

Is Test Lead?

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Lead has been submitted successfully!

Lead ID: {{response.x2crmNameId }}

I am calling from the Chronic Condition Support Group.

We connect people with chronic conditions to a Medicare-paid medical service to help them manage their condition and live better.

FAQ

How did you get my information?

I already have a doctor

How does this work?

Does this cost anything?

Qualifying Questions

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