For more information

Please fill out the form below and we’ll get in touch with you. You may also request to schedule a tour of the Fallon Health Weinberg-PACE center at 461 John James Audubon Parkway, Amherst, NY.

You may also contact us at 1-855-665-1113 (TTY 711) or info@fallonweinberg.org, Monday through Friday 8:30 a.m. and 5:00 p.m.

First name:

Last name:

City

State

ZIP code:

Phone number:

Email address:

Are you a: Caregiver Prospective participant Other Referral source

If you're a referral source, please tell us the name of your agency or business:

If you chose “Other” above, please specify:

Would you like to tour the PACE Center? Yes No

All services must be provided by or authorized by the PACE Interdisciplinary Team (except emergency services). PACE participants may be held liable for costs for unauthorized or out-of-PACE program agreement services.

H6596_240346_C
The information on this page was last updated on 12/12/2023.

Developer resources

Terms and Conditions | Disclaimer | Web Privacy Policy | About HIPAA and Notice of Privacy Practices
Get Adobe Reader (This link takes you away from the Fallon Health Weinberg website.)

Multi-language Interpreter Services (H2470_W_2017_18_r1 Accepted 081616, pdf)
Notice of non-discrimination (pdf)

For information in other languages:

English	Tiếng Việt	Français	Polskie
Español	Pусский	Italiano	हिंदी
Português	العربية	한국어	ગુજરાતી
中文	ភាសាខ្មែរ	ελληνικά	ລາວ

Anonymous Compliance Hotline. Call our Compliance Hotline to report any concerns you may have regarding compliance, fraud, waste or abuse. You can call the Hotline 24 hours a day, seven days a week. All calls are anonymous and confidential.