Contact Us

Get in touch

kristiknowshealth@gmail.com

Thank You!

Thank you for your interest in getting more information regarding our health packages.

To provide the most accurate quote, please fill out the extended form below with as much information as you can so our team can customize your package to your exact needs!

Fill Out Extended Form Here

Detailed Form For Best Quote

Contact us any time

Name

Phone

Please share your date of birth, height, weight, and any current medications

Are you looking for family coverage? If so please list gender, date of birth, and any prescriptions meds in order.

Any tobacco use? Yes or No *

Yes

Do you or anyone looking for coverage have any hospitalizations, surgeries, or er visits? Please list who, when, and why.

Do you or any member applying for coverage have a prescription history of diabetic, blood pressure, pain, depression, anxiety medication, back or neck issues? Please list who and which medicine. *

Are you loosing your current coverage? If no coverage please type N/A *

Please list the insurance company you have or had *

Did you have any deductibles? *

When do you need coverage to start?

(225) 400-8899

(225) 400-8899

kristiknowshealth@gmail.com

Business Hours

Monday-Friday: 7am-7pm CST

Saturday- Sunday: Appointment Only

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