Apply Now

Start the application process by simply filling out the form below. One of our experienced Intake Specialists will contact you to explain the program and answer any questions you may have.

"*" indicates required fields

I prefer to be contacted by:
I am at least 55 years of age:
I can live safely at home with help:

Important Info

CMS Appointment of Representative

Click the button below to download the form:

Grievances and Appeals

Click the button below to download the form:

Participants’ Rights

Community LIFE complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

PACE is a voluntary program. Participants may disenroll at any time.

All services with the exception of emergency care are provided and/or coordinated by Community LIFE. Participants are responsible for the cost of any services not coordinated by Community LIFE.