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Area Agency on Aging of The Capital Area |
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Index Area Resources Assisted Living Directory Assisted Living Facilities by:  AlphaCityCountyBenefits Caregiving Conferences Falls Prevention/Health and Wellness ProgramElder Abuse End Of Life Svcs. Forms Helpful Phone #'s How To Help Links Long Term Care Medicaid Medical Prescriptions Medicare Nursing Home Issues Nursing Facilities by: AlphaCityCountyOmbudsman Opportunities EducationEmploymentVolunteeringSenior Centers Service Area Map Statistical Data Staff Translation Transportation Who We Are 
6800 Burleson Road, |
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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 Use this form to report a facilities visit. Please see Instruction Sheet. This form can be downloaded and printed MONTHLY REPORT INSTRUCTION-PDF
When completed, mailed directly to: 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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