div class=ts-pagebuttonPage 1button div class=ts-image amp-img class=ts-thumb alt=Page 1: Medicare Enrollment Form - lawrencetaorglawrencetaorgimagesMedicare_enrollment_form0001pdf · form approved us department of health and human services omb no 0938-0787 centers src=https:reader031vdocumentssitereader031viewer20220304045a7a2d607f8b9adf778d8b6bhtml5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 2button div class=ts-image amp-img class=ts-thumb alt=Page 2: Medicare Enrollment Form - lawrencetaorglawrencetaorgimagesMedicare_enrollment_form0001pdf · form approved us department of health and human services omb no 0938-0787 centers src=https:reader031vdocumentssitereader031viewer20220304045a7a2d607f8b9adf778d8b6bhtml5thumbnails2jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 3button div class=ts-image amp-img class=ts-thumb alt=Page 3: Medicare Enrollment Form - lawrencetaorglawrencetaorgimagesMedicare_enrollment_form0001pdf · form approved us department of health and human services omb no 0938-0787 centers src=https:reader031vdocumentssitereader031viewer20220304045a7a2d607f8b9adf778d8b6bhtml5thumbnails3jpg width=142 height=106 layout=responsive amp-img divdiv