Bhsf Form 1-Hpe - Assessment Tool For Hospital Presumptive Eligibility (Hpe) Only Page 3

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ACADIA
CAMERON
IBERIA
MOREHOUSE
ST. CHARLES
UNION
568 NW Court Circle
P. O. Box 1
300 S. Iberia St. - #110
129 N. Franklin St.
P. O. Box 315
P. O. Box 235
Crowley, LA 70526-4363
Cameron, LA 70631-0001
New Iberia, LA 70560-4543
Bastrop, LA 71220-3815
Hahnville, LA 70057-0315
Farmerville, LA 71241-0235
(337) 788-8841
(337) 775-5493
(337) 369-4407
(318) 281-1434
(985) 783-2731
(318) 368-8660
ALLEN
CATAHOULA
IBERVILLE
NATCHITOCHES
ST. HELENA
VERMILION
P. O. Box 150
P. O. Box 215
P. O. Box 554
P. O. Box 677
P. O. Box 543
100 N. State St. - #120
Oberlin, LA 70655-0150
Harrisonburg, LA 71340-0215
Plaquemine, LA 70765-0554
Natchitoches, LA 71458-0677
Greensburg, LA 70441-0543
Abbeville, LA 70510
(337) 639-4966
(318) 744-5745
(225) 687-5201
(318) 357-2211
(225) 222-4440
(337) 898-4324
ASCENSION
CLAIBORNE
JACKSON
ORLEANS
ST. JAMES
VERNON
828 S. Irma Blvd. - #205
507 W. Main St. - Suite 1
500 E. Court St. - #102
1300 Perdido St. - #1W23
P. O. Box 179
P. O. Box 626
Gonzales, LA 70737-3631
Homer, LA 71040-3914
Jonesboro, LA 71251-3400
New Orleans, LA 70112-2127
Convent, LA 70723-0179
Leesville, LA 71496-0626
(225) 621-5780
(318) 927-3332
(318) 259-2486
(504) 658-8300
(225) 562-2330
(337) 239-3690
ASSUMPTION
CONCORDIA
JEFFERSON
OUACHITA
ST. JOHN
WASHINGTON
P. O. Box 578
4001 Carter St. - #4
P. O. Box 10494
122 St. John St. #114
1801 W. Airline Hwy.
Courthouse Bldg.
Napoleonville, LA 70390-0578
Vidalia, LA 71373-3021
Jefferson, LA 70181-0494
Monroe, LA 71201-7342
LaPlace, LA 70068-3344
900 Washington St.
(985) 369-7347
(318) 336-7770
(504) 736-6191
(318) 327-1436
(985) 652-9797
Franklinton, LA 70438
AVOYELLES
DESOTO
JEFFERSON DAVIS
PLAQUEMINES
ST. LANDRY
(985) 839-7850
312 N. Main St. - #E
105 Franklin St.
302 N. Cutting Ave.
P. O. Box 989
P. O. Box 818
WEBSTER
Marksville, LA 71351-2409
Mansfield, LA 71052-2046
Jennings, LA 70546-5361
Port Sulphur, LA 70083-0989
Opelousas, LA 70571-0818
P. O. Box 674
(318) 253-7129
(318) 872-1149
(337) 824-0834
(504) 934-3620
(337) 948-0572
Minden, LA 71058-0674
BEAUREGARD
E. BATON ROUGE
LAFAYETTE
POINTE COUPEE
ST. MARTIN
(318) 377-9272
P. O. Box 952
222 St. Louis - #201
1010 Lafayette St. - #313
211 E. Main St.
415 Saint Martin St.
W. BATON ROUGE
DeRidder, LA 70634-0952
Baton Rouge, LA 70802-5860
Lafayette, LA 70501-6885
New Roads, LA 70760-3661
St. Martinville, LA 70582-4549
P. O. Box 31
(337) 463-7955
(225) 389-3940
(337) 291-7140
(225) 638-5537
(337) 394-2204
Port Allen, LA 70767-0031
BIENVILLE
E. CARROLL
LAFOURCHE
RAPIDES
ST. MARY
(225) 336-2421
P. O. Box 697
P. O. Box 708
307 W. 4th St.
701 Murray St.
500 Main St. - #301
W. CARROLL
Arcadia, LA 71001-0697
Lake Providence, LA 71254-
Thibodaux, LA 70301-3105
Alexandria, LA 71301-8099
Franklin, LA 70538-6144
P. O. Box 71
(318) 263-7407
0708
(985) 447-3256
(318) 473-6770
(337) 828-4100
Oak Grove, LA 71263-0071
BOSSIER
(318) 559-2015
LASALLE
RED RIVER
ST. TAMMANY
(318) 428-2381
P. O. Box 635
E. FELICIANA
P. O. Box 2439
P. O. Box 432
701 N. Columbia St.
W. FELICIANA
Benton, LA 71006-0635
P. O. Box 488
Jena, LA 71342-2439
Coushatta, LA 71019-0432
Covington, LA 70433-2709
P. O. Box 2490
(318) 965-2301
Clinton, LA 70722-0488
(318) 992-2254
(318) 932-5027
(985) 809-5500
St. Francisville, LA 70775-2490
CADDO
(225) 683-3105
LINCOLN
RICHLAND
TANGIPAHOA
(225) 635-6161
P. O. Box 1253
EVANGELINE
100 W. Texas Ave.
P. O. Box 368
P. O. Box 895
WINN
Shreveport, LA 71163-1253
200 Court St. - Ste. 102
Ruston, LA 71270-4463
Rayville, LA 71269-0368
Amite, LA 70422-0895
119 W. Main St. - Room 105
(318) 226-6891
Ville Platte, LA 70586-4463
(318) 251-5110
(318) 728-3582
(985) 748-3215
Winnfield, LA 71483-3238
CALCASIEU
(337) 363-5538
LIVINGSTON
SABINE
TENSAS
(318) 628-6133
1000 Ryan St. - #7
FRANKLIN
P. O. Box 968
400 Capitol St. - #107
P. O. Box 183
Lake Charles, LA 70601-5250
Courthouse
Livingston, LA 70754-0968
Many, LA 71449-3099
St. Joseph, LA 71366-0183
(337) 437-3572
6560 Main St.
(225) 686-3054
(318) 256-3697
(318) 766-3931
CALDWELL
Winnsboro, LA 71295-2750
MADISON
ST. BERNARD
TERREBONNE
P. O. Box 1107
(318) 435-4489
100 N. Cedar St.
8201 W. Judge Perez - Rm. 104
P. O. Box 9189
Columbia, LA 71418-1107
GRANT
Tallulah, LA 71282-3892
Chalmette, LA 70043-1696
Houma, LA 70361-9189
(318) 649-7364
Courthouse
(318) 574-2193
(504) 278-4231
(985) 873-6533
200 Main St.
Colfax, LA 71417-1828
(318) 627-9938
OFFICIAL USE ONLY
PLACE IN AN ENVELOPE AND MAIL TO YOUR
REGISTRAR OF VOTERS
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Circle One:
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SDA
SS(Disability)
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