Documents & Links

Patients

Documents/Forms

LTC New Admission Referral Form – Louisiana

LTC New Admission Referral Form – Mississippi

Pharmacy Authorization

Individual Resident Narcotic Record

Controlled Substance Power of Attorney Form

Price Request Form – Louisiana

Price Request Form – Mississippi

External Links

Alzheimer’s Assocation

American Society of Consultant Pharmacists

Centers for Medicare & Medicaid Services Website

Cystic Fibrosis Foundation

Department of Health & Hospitals, State of Louisiana Website

Diabetes Foundation

Drug Enforcement Administration Website

Federal Register Website

Healthcare Quality Association on Accreditation (HQAA)

Medicare Website      

Medicare Part D Coverage

U.S. Food and Drug Administration Website

World Health Organization

Louisiana Resources

Louisiana Medicaid Website

Louisiana Nursing Home Association (LNHA)

State Operations Manual-Appendix PP

Mississippi Resources

Mississippi State Department of Health

Mississippi Health Care Association

Mississippi Medicaid

QS1 Webconnect

National Pharmacy

Louisiana

  • 8860 Quimper Place, #100 Shreveport, LA 71105
  • 318-797-9517

Mississippi

  • 371 B Highland Colony Parkway Ridgeland, MS 39157
  • 769-235-4141

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