For your convenience, the forms you are required to complete when seeking assistance with medical bill payments and insurance enrollment are located below. Please fill them out electronically or in black/blue ink and return to L&S Associates, Inc. Online submissions are not available at this time. Print and mail completed forms to:
- L & S Associates, Inc.
- MSU Corporate Research Park
- P. O. Box 21129
- Lansing, MI 48909-1129
Authorization To Represent
This form provides authorization for L&S Associates to represent you in all proceedings necessary to establish eligibility for Medicaid, including serving as the Authorized Hearing Representative for your case. |
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Authorization For Release Of Information
Special federal regulations protect the release of information in the areas of mental health, drug treatment, and alcohol treatment. Records of this nature require a patient's consent for their release. |
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To preserve the integrity of L & S documents the forms are only available in PDF format. PDF reader software is available free of charge to download from Adobe for
Windows
and
Macintosh.
For help applying for Social Security Disability benefits, please visit Disability Claims Specialists (DCS), a division of L&S Associates, Inc.
