Area Agency on Aging of The Capital Area

INDEX
AREA RESOURCES
ASSISTED LIVINGOverview
ASSISTED LIVING
FACILITIES

by City
by County
by Name
BENEFITS
CAREGIVING
COUNTY MAPS
Bastrop
Blanco
Burnet
Caldwell
Fayette
Hays
Lee
Llano
Travis
Williamson
All-Counties
END of LIFE
Services

FORMS
HOW TO HELP
LINKS
LONG TERM CARE
MEDICAID
MEDICAL PRESCRIPTIONS
MEDICARE
NEWSLETTERS
NURSING HOMEOverview
NURSING HOMES
by City
by County
by Name
OMBUDSMAN OPPORTUNITIES
Education
Employment
Volunteering
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

PO Box 17848,
Austin, TX 78760

PHYSICAL ADDRESS

6800 Burleson Road,
Building 310,
Suite 165
Austin, TX 78760

TEL: (512) 916-6062
TOLL FREE:
888-622-9111
FAX:
(512) 916-6042
EMail: aaacap@capcog.org

FORMS and REPORTS AVAILABLE ON-LINE

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 Counseling Services
AAACA
2512 S. IH35, Suite 340
Austin, TX 78704


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:
Benefits Counseling Services
AAACA
2512 S. IH35, Suite 340
Austin, TX 78704

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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:
Care Giver Services
AAACA
2512 S. IH35, Suite 340
Austin, TX 78704

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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

PAGE 1

PAGE 2

Instruction Sheet (PDF)

Instruction Sheet (Text Version)

When completed, mailed directly to:
Nursing Home Ombudsman Program
AAACA
2512 S. IH35, Suite 340
Austin, TX 78704


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:
Nursing Home Ombudsman Program
AAACA
2512 S. IH35, Suite 340
Austin, TX 78704


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Questions/comments concerning this page,
EMail: austexal@austin.rr.com