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Area Agency on Aging of The Capital Area |
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INDEX AREA RESOURCES ASSISTED LIVING ASSISTED LIVING FACILITIES BENEFITS CAREGIVING COUNTY MAPS END of LIFE FORMS HOW TO HELP LINKS LONG TERM CARE MEDICAID MEDICAL PRESCRIPTIONS MEDICARE NEWSLETTERS NURSING HOME NURSING HOMES OMBUDSMAN OPPORTUNITIES PHONE NUMBERS RIDE GUIDE SENIOR CENTERS SERVICE AREA MAP STAFF TRANSLATION TRANSPORTATION WHO WE ARE ![]() Counties of BASTROP BLANCO BURNET CALDWELL FAYETTE HAYS LEE LLANO TRAVIS WILLIAMSON ALL-COUNTIES MAP ![]() BY MAIL |
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Acrobat Reader is required to utilize PDF files BENEFITS REPORTING BENEFITS VOLUNTEER LEGAL ASSISTANCE CASE REPORT (EMail) Use this form to report a counseling visit. This form can be completed on-line and emailed directly to the appropiate individual at the Area Agency on Aging of the Capital Area (AAACA). BENEFITS VOLUNTEER LEGAL ASSISTANCE CASE REPORT (PDF) Use this form to report a counseling visit. This form can be downloaded and printed, then when completed, mailed directly to: BENEFITS VOLUNTEER LEGAL NARRATIVE (PDF) Use this form to report counseling visits. This form can be downloaded and printed, then when completed, mailed directly to: CAREGIVER REPORTING Your Area Agency on Aging needs your input on this survey in order to determine your needs as a caregiver and the best way to meet those needs. The information you share is critical and will remain confidential. Additionally, the more feedback we receive from you the better we will be able to work together toward developing programs and services. CAREGIVER SURVEY FORM (Email Version) Use this form to complete the Caregiver Survey. This form can be completed on-line and emailed directly to the appropiate individual at the Area Agency on Aging of the Capital Area (AAACA). CAREGIVER SURVEY FORM (PDF Version) Use this form to complete the Caregiver Survey. This form can be downloaded and printed, then when completed, mailed directly to: OMBUDSMAN REPORTING OMBUDSMAN MONTHLY REPORT (Email Version)(Revised 06/04) Use this form to report a facilities visit. This form can be completed on-line and emailed directly to the appropiate individual at the Area Agency on Aging of the Capital Area (AAACA). OMBUDSMAN MONTHLY REPORT (PDF)(Revised 06/04) Use this form to report a facilities visit. Please Note: This form has been revised and now has 2 pages. The second page may or may not be needed. Please see Instruction Sheet. This form can be downloaded and printed Instruction Sheet (Text Version)
When completed, mailed directly to: OMBUDSMAN VOLUNTEER REQUEST FORM (EMail) Use this form to volunteer as a nursing home ombudsman. This form can be completed on-line and emailed directly to the appropiate individual at the Area Agency on Aging of the Capital Area (AAACA). OMBUDSMAN VOLUNTEER REQUEST FORM (PDF) Use this form to volunteer as a nursing home ombudsman. This form can be downloaded and printed, then when completed, mailed directly to:
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