Aging & Adult Services Request for Services

To request services through the DHH Office of Aging and Adult Services, you may call the Louisiana Options in Long-Term Care Hotline at 1-877-456-1146. If you are requesting services on behalf of someone else, please have that person's name, physical/home address and Medicaid number (if applicable) readily available when calling.  You may also submit a request for services using the form below, and a staff member will contact you for assistance and further information.

(Please select the category that best matches the type of services you are seeking. )
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(If you are requesting on behalf of someone else, please have that person's name, address and Medicaid number, if applicable, available when speaking with staff.)
(Please provide any additional details on the types of services you are requesting so staff may better assist you. )