(504) 835-0006
Call us TOLL FREE at (833) 726-3466 for more information or visit
ccano.org/pace
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Pace GNO
News
June 28, 2018
PACE GNO Begins Tai Chi Program
June 18, 2018
CCANO Appeal 2017 Celebration
June 12, 2018
PACE GNO Celebrates Nursing Assistants Week
April 9, 2018
PACE Executive Director On The Air
April 6, 2018
PACE GNO Hosts LSU Occupational Therapy Students
April 2, 2018
Hope Haven at St. John Bosco PACE Center Extends Its Operating Hours
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Pace Qualification Form
In order to qualify for PACE’s Healthcare & Caregiver services, you must meet the eligibility requirements included in this form. Please complete this form to determine if you are eligible for PACE. If you have any questions, please contact our intake enrollment number at 504-835-0006.
Step 1 of 3
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Do you have a physical or mental health deficit that requires therapy, treatment or daily assistance?
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Yes
No
Unsure
Is your monthly income less than $2349 a month?
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Yes
No
Unsure
Are you willing to change your health insurance?
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Yes
No
Unsure
Which Zip Code do you live in?
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Full Name
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Email
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Phone
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Birth Date
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Address including Zip Code
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Which service(s) were you interested in learning about?
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Primary care and specialty medical care
Medication monitoring
Physical/Occupational/Speech therapy
Transportation (to and from medical appointments)
Personal care (dressing, bathing, grooming, toileting, feeding)
Adult day health center
Nutritional counseling
Social services
Social activities
How did you hear about PACE Greater New Orleans?
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