Appointment Request Procedure

  1. Complete the request for appointment form on this page with your desired date and time (Please request no less than 24 hours in advance). Click the submit button to ensure your form is processed. For emergency situations, please call us at (844) 501-1359.
  2. A member of our staff will send you a confirmation email with the details of your appointment. (Please note your appointment isn’t set until you receive a confirmation email/call from a member of our staff.)

"*" indicates required fields

Policy Holder Name*
Status*
Type of Client*
Please describe the service that you are requesting an appointment for.

Requested Appointment Date

Requested Appointment Date*
Please allow no less than 24 hours in advance.
Time*
:
Appointments can be scheduled weekdays between the hours of 9 AM and 4 PM with no less than 24 hours advance notice.
Desired M&R Office Location for Appointment*
Please note:
- Our Braintree Office only accepts appts on Tuesdays, Weds, & Thursdays.
- Our Marshfield Office accepts appts M-F.

Preferred Contact Information for Appointment Confirmation:

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