Massachusetts Senior Medicare Patrol Program
Home
About Us
How We Help
Our Team
MA SMP Program Statewide Advisory Committee
MA SMP Program Partners
Join Our Team
Contact Us
MA SMP Partners
Choosing Wisely Campaign
Materials and Resources
Tips to Prevent Fraud and Abuse
MA SMP Materials, Fliers & Forms
Frequently Asked Questions
Choosing Wisely Campaign
Multilingual Services
Volunteer!
Volunteer Opportunities
Volunteer Application
SIRS Data Entry
Contact Us
Request for MA SMP Materials
Request Form
Name and Title
*
Organization
Address
*
Please note: We cannot mail to addresses outside Massachusetts.
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Country
County
Phone (XXX-XXX-XXXX)
*
Email
*
Request for SMP Materials (Sent to you at no charge.)
Items Requested
MA SMP Program Brochure
Personal Healthcare Journal
MA SMP-SHINE Placemats
Brochure Quantity
Journal Quantity
Placemats Quantity
Journal & Brochure Languages
Chinese
English
Korean
Portuguese
Russian
Spanish
Vietnamese
Verification
Please enter any two digits
*
Example: 12
This box is for spam protection -
please leave it blank
:
SMP ALERTS
Brace Scam Alert
New Medicare Card Information
MA SMP Statewide Conference
Educational Events Calendar
Calendar of Educational Events
MA SMP in Action
SMP Educational Events
MA SMP Program Campaigns
News & Media
Volunteers in Action
SMP Can Help!
Healthcare Errors, Fraud & Abuse
Deceptive Marketing
Identity Theft
How We Help
How You Can Help
Inter-Agency Referral Form
Search for:
Wordpress Theme by ThemeZee
Select Language
English
Português
Español
