REQUEST AN APPOINTMENT

Please use the form below to request an appointment at the office and the date/time of your preference. In order to ensure an RG team member is available, please request your appointment no less than 24 hours in advance.

PROCESS

Complete Appointment Request Form for your desired date and time (but please – no less than 24 hours in advance. If you have an emergency issue, please call 800-553-1801).
RogersGray will confirm your appointment via email with the details including the location, date, time, and staff member you will be meeting with.

First Name and Last Name of Policy Holder*
First Last
Please Indicate your Client Status?*
- Current Client
- Prospective Client
What Can We Assist you With?*
Please describe what assistance you will need during your appointment.
Date*
MM slash DD slash YYYY

No less than 24 hours in advance please.
Time*

: Hours

Minutes

AM/PM

Appointments can be scheduled between 9 am and 4 pm. No less than 24 hours in advance please.
Preferred Email for Appointment Confirmation*
Phone Number
Please upload any supporting documents
Drop files here or

Max. file size: 50 MB.

Corporate Mailing Address

410 University Avenue
Westwood, MA 02090

Office Hours

Monday-Friday 8:30am-4:30pm

Contact Us

Phone – 800-553-1801
Fax – 877-816-2156

REQUEST AN APPOINTMENT

PROCESS

Corporate Mailing Address

Office Hours

Contact Us

Office Locations – MA

Office Locations – NH

Office Locations – CT