Thank you for beginning the process of protection your finances and health should you become incapacitated and unable to speak for yourself . With the Grown & Flown Package you will receive a HIPAA, Property Power of Attorney, Healthcare Power of Attorney, Advanced Directive and Nomination of Guardian and Conservator.

If you are a parent or guardian completing the intake form on behalf of your adult child please cancel this intake and choose the intake for Parent or Guardian, as there are additional questions and disclaimers for parents or guardians.

Next Steps:

1)Complete the below intake questions. The information you provide will be used to prepare the documents, so please be sure your elections and spellings are accurate.

2)Make a Payment online for $650 by clicking HERE

3)Once the above two tasks are complete, we will contact you to schedule a review and signing appointment. This could take up to 2 business days. Thank you for your patience.

If you have any questions, please feel free to contact us at our Oregon office at 503-641-6262 or our Vancouver office at 360-360-0212.

Contact information: Client Information

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

Who would you like to nominate as your representative for the HIPAA Authorization, Healthcare Power of Attorney, Property Power of Attorney and Guardian/Conservator?

Click here to enter First, Middle, Last Name of Representative elections

Where are you attending school, if applicable?

What state do you live in, if not attending school?

Additional Comments:

Please give us any other information you feel necessary to prepare the Grown & Flown Package documents for you.

What's Next?

To proceed we will need to receive payment for the flat fee of $650. Please select or copy and paste to your browser to pay. You may also go to our website (myattandbell.com) or call us to make a payment over the phone. Please reference the Grown & Flown Package in your payment authorization.

Oregon Clients CLICK HERE FOR PAYMENT

Washington Clients CLICK HERE FOR PAYMENT

Once the retainer is received, we will reach out to schedule the signing appointment. The signing will be at our office as the documents need to be notarized and witnessed. Parents, or other third parties, are welcome to attend the signing, but please note we will ask to speak with you alone to ensure you understand the legal documents you are signing and the elections you have made.