Medicare Permission to Contact Medicare Permission to Contact I,Untitled give an Agent from GABailey Insurance Group, Inc. permission to contact me via email, phone, or virtual appointment to discuss my Medicare needs and plans for a maximum of 6 months (180 days). I am fully aware that I may revoke this permission to contact at any time and that this is not a condition to purchase. Typed Name PhoneDate MM slash DD slash YYYY City ST ZIP Best Time to Call AM / PM
