Free eligibility check · about two minutes Start
Provider Notes

Doing This for Someone Else

Most people who start this are not the patient. The process is built for it.

Helping Them

They are with you and they agree. You are operating the keyboard.

Nothing extra needed. Their details go on the form.

Acting for Them

You hold a healthcare power of attorney, are their surrogate or guardian, or they asked you to handle it.

We ask your relationship and what authorizes you. You sign in your own name.

What We Need

About them: legal name, date of birth and address as on their Florida ID, a photo of that ID, and their condition.

About you: your name and email, which is where everything is sent, and your relationship to them.

One thing we cannot take online. If you tell us both that they asked you to do this and that they do not know about it, please call (754) 233-0586 instead. There is no charge for the call.

Check Whether They Qualify

Free, about two minutes.