Client Forms and Questionnaires

  • Medicaid Planning Questionnaire
  • New Case Form
  • Family Law Intake Form
  • Will Questionnaire
  • Power of Attorney Questionnaire
  • LLC Questionnaire
  • Social Security Questionnaire
  • Succession Worksheet

Losavio & DeJean, LLC

What Sets Us Apart
  • Complimentary Phone Consultation
  • Specialized, Experienced, and Compassionate Elder Law Attorney
  • Over 40 Years of Specialized Experience
  • Care Manager & Registered Nurse on Staff

Get In Touch

By Calling 800-835-5864 or Filling Out the Form Below
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Client Experiences

Opinions That Matter Most
  • “He came highly recommended by my aunt's nursing home and later for my mother's estate. After 2 court battles and wins I am proud to say that I would with the utmost respect, recommend Pete Losavio.”

    - George
  • “In one short, free consultation with Mr. Losavio, I learned how to protect my mother's house and savings from the ravenous jaws of the Federal Government. In just a couple of weeks, all the paperwork was complete, and I had peace of mind.”

    - Dane
  • “Very knowledgeable concerning the requirements for Medicaid. With his help, I was able to qualify my wife with dementia for Long Term Care in a very good assistant living facility.”

    - William
  • “When my mother faced going into a nursing home, we thought that she was going to have to spend all of her life savings. Mr. Losavio was able to save her life savings and protect her home, getting her qualified for Medicaid quickly.”

    - Anonymous
  • “Mr. Losavio was very helpful in doing estate planning for my mother after my father passed away.”

    - Anonymous