Contact Us

Interested in the SeniorShield® benefits or in a FREE Asset Protection & Medicaid Planning Consultation? Complete and submit this Contact Us form and we will reach out to you to schedule your FREE phone consultation!

Estate Preservation Network®

1464 E Whitestone Boulevard, Suite 501, Cedar Park Texas 78613

(512) 260-2111 OR TOLL-FREE at (877) 249-6047

INFORMATION AND FORMS

Interested in Medicaid Planning and Asset Protection for you, your parents or other loved ones?? 

Please review the forms below. 

We will explain them to you during your FREE phone consultation! 

Medicaid 3 Box Check List & Document Check List 2017 (pdf)
Download
Medicaid Planning Questionnaire & Certification (pdf)
Download
SeniorShield® Membership Enrollment Application (pdf)
Download