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Publications & Forms

Download Family Medical Care brochure (PDF)
Transferencia Directa Su Hogar Médico folleto (PDF)
Download Mom and Baby Health Center brochure (PDF)
Transferencia Directa Centro de salud de la mamá y del bebé folleto (PDF)

HOUSEHOLD ASSESSMENT
Patient Discount Eligibility Form

Discount Policy: Daughters of Charity Health Centers maintain a system in place to determine eligibility for patient discounts based on the patient’s household assessment determined by family income and family size.

Payment Policy: Daughters of Charity Health Centers collect all applicable payments, co-payments, and/or deductibles at time of service.

 

 

The Daughters of Charity Services of New Orleans is committed to improving the health status of our community. We continue to advance our long tradition of health ministry through the development of a values-driven organization dedicated to primary care and preventative health services, addressing the needs of the total individual – body, mind, and spirit.

We provide discounts to uninsured patients based on family size and household income. Therefore, in order to make your visit to our Health Center as pleasant as possible for you and your family, please bring the following documents with you to your visit:

a. Driver’s license or photo ID
b. Insurance card, if applicable
c. Proof of income (pay stub, Social Security, etc)

We also ask that you arrive 30 minutes early for your first appointment and that you bring all medications with you. Please know that payment is due at time of service.

Thank you for choosing us for your health care needs. We look forward to serving you!

Sincerely,
Daughters of Charity
Services of New Orleans

Mid-City
Health Center

3201 S Carrollton Ave
New Orleans, LA 70115
(504) 207-3060
Metairie
Health Center

111 N Causeway Blvd
Metairie, LA 70001
(504) 482-0084
Bywater
Health Center

4201 N Rampart St
New Orleans, LA 70117
(504) 941-6041





 
 

© 2010 The Daughters of Charity Services of New Orleans.
3201 S. Carrollton Avenue, Street New Orleans, Louisiana 70118 Phone: 504-482-2080 Fax: 504-483-6016