Life Care Centers of America
APH Disease Management Program
Date of Birth
Select a Status
Best Number to Call
Best Day and Time to Call (Day - Time - Timezone)
Same as Home Address
(Press Ctrl to select multiple)
If Diabetic, what is your daily glucose testing frequency?
Please Select The Following:
I want to enroll in the disease management program. In doing so, I will have access to a free glucose meter, free or discounted medications, diabetic supplies, and free nurse counseling.
If an individual referred you to our program, please add their referral code so they get credit.