Tell Your Boss...

If your current employer doesn't offer the SharedCare Plan or group insurance, fill out this form and we will follow up with them to educate them on the various benefits of enrolling their staff in the SharedCare Plan.

Tell your co-workers to fill out this form as well so we can let your employer know how many employees have anonymously asked us to contact them.

Although you can submit this form without providing any personal information, feel free to leave your information below if you would like us to contact you for more information. We will keep all information and conversations confidential, and we will only use your information for this purpose.

If you would rather speak with someone in person, contact us by calling 541-647-1765 ext 303.

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