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Health & Social Services Search 

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• Pioneer Homes Pharmacy
  

Important links

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Admissions Forms

Additionally, you can download the application from this website. It can be printed, filled out, and mailed to the address listed above. You can find these forms below or they are also located to the right of this text in the "Related Links " section.

• Alaska Pioneer Homes Application 2009 (23kb)
• Application Instructions 2009 (12kb)
• Admissions & Discharge Information Booklet (442kb)
• History and Physical Form (38kb)
• Certificate of Need Form
• MOST (Medical Orders for Scope of Treatment) form (83kb)
• 2010 Rate Increase Notice (172kb)
• Payment Assistance Program

 

Also available online are the Alaska Pioneer Home System Statutes and Regulations.

 

For more information contact:

Dave Cote, Director
Division of Alaska Pioneer Homes
Central Office, P.O. Box 110690
Juneau, AK 99811-0690
Phone: (907) 465-5737
Fax: (907) 465-4108