Personal Injury Settlement Consulting MSA Questionnaire

Is it anticipated that there will be future medical expenses relating to my client’s injury?

Is my client a Medicare beneficiary?

Is my client receiving SSDI or RRD?

Has my client applied for SSDI or RRD or had my client applied and been denied but anticipates appealing the decision?

Is my client in the process of appealing and/or refilling for SSDI or RRD benefits?

Is my client age 62.5 years or older?

Does my client have End Stage Renal Disease (ESRD) but does not yet qualify for Medicare based on ESRD?

Does my client have Amyotrophic Lateral Sclerosis (ALS)?

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