Complete this form to have someone contact you for a review

Full Name *

Date of birth *

Phone *

Please send me a link to submit my medications list electronically through *

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This will allow me to enter my medications to have Acadiana Senior Advisors review my drug plan for 2025

337-321-9141

You can also stop in on Tuesday, Wednesday or Thursday from 1:00pm to 3:00pm for assistance.

5000 Ambassador Caffery Pkwy. Building 11

Lafayette, Louisiana 70508

In-person sessions also being offered on Thursdays at Parkview Library in New Iberia.

CALL TO RSVP TO THESE EVENTS!

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