Permission to Contact

I authorize ASAS Health to furnish my contact information to an insurance broker and I give permission for both ASAS Health and the insurance broker to contact me.

I authorize the insurance broker to email, call or text me at the phone number and email provided (even if that number is on any Do Not Call Registry or is a wireless number) regarding Medicare coverage options, including potentially through insurance products and services (such as Medicare Advantage plans). The insurance broker’s messages may be artificial or pre-recorded or may be sent by an automatic telephone dialing system to the relevant number.

In addition, I authorize ASAS Health to contact me for any relevant communication and marketing purposes.

I understand that I am not required to opt in to receive text messages, calls, or emails as a condition (directly or indirectly) of transacting with ASAS Health Partners or the insurance broker. I am the current authorized user of the phone number and email address provided. I consent to calls with me being recorded and monitored. I understand that text messages are recurring and on-going and that messaging and data rates may apply. I consent to and understand that emails are recurring and on-going unless I choose to unsubscribe. I understand that I can withdraw consent or unsubscribe at any time.