FileLinks

Files

The following files are in the Adobe PDF format. To view them it is necessary for you to have the Adobe Acrobat Reader installed on your system. If you do not have the Reader you can download it for free at www.adobe.com

1. Admission Requirements (37 KB)

2. Dear Veteran Letter (409 KB)

3. Veterans Benefits Documentation (33 KB)

4. Medical Information Release (51 KB)

5. Monthly Income Verification Form (27 KB)

6. NELWVH Resident (13 KB)

7. Request for Change in Level of Care (9 KB)

8. Statement of Social History (13 KB)

9. Required Medical Information (23 KB)

10. Application for Admission (16 KB)

11. Release of Information (46 KB)

12. Legal Procedures Disclosure (16 KB)

13. Pharmacy Preference (17 KB)

14. Healthcare Provider Declaration of Health (13 KB)

The above 14 files comprise our application packet. Please download, open, and print each one to apply. You may also download all of the files packaged together in a .zip format with this link (683 KB). You will need an unzip program to extract the files. Winzip is available at www.winzip.com for download. Once filled out you may mail them to the following address:

Northeast Louisiana War Veterans' Home

Attention: Social Services Director

6700 Highway 165 North

Monroe, Louisiana 71203

you may fax them to 318-362-4621

Attention: Social Services Director

The remaining files are in JPEG graphics format. You should not need any program beyond what your computer already has to view and print them out.

1. NELWVH - Main Brochure - Page 1 (631 KB)

2. NELWVH - Main Brochure - Page 2 (685 KB)

3. *Tree of Life Brochure - Page 1 (574 KB)

4. *Tree of Life Brochure - Page 2 (529 KB)

5. Aerial view of the Northeast Louisiana War Veterans' Home and the surrounding grounds (263 KB)

* The Tree of Life is a fund-raising program. The funds received go directly to the improvement of the residents' daily lives through recreation and equipment for resident use.

Dear_Veteran.pdf

Medical_Information_Release.pdf

NELWVH_Resident.pdf

Request_For_Change_In_Level_Of_Care.pdf

Brochure___Pg_1.JPG

Brochure___Pg_2.JPG

Tree_of_Life___Pg_1.JPG

Tree_of_Life___Pg_2.JPG

Arial_VA.jpg

01/31/2005, 01/02/2006

packet.zip