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Houston-Galveston Area Council Houston-Galveston Area Council
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Area Agency on Aging Contractors

Area Agency on Aging Contractors

Contractor Forms and Information

Please see the links below for documents, forms, and worksheets required by the Area Agency on Aging.

  • Area Aging on Aging Homepage
  • Client Intake and Service Request Form
  • Client Rights and Responsibilities
  • Consumer Change of Status Checklist
  • Consumer Change Of Status Form
  • Consumer Data Usage Training
  • Consumer Grievance
  • Consumer Needs Evaluation Instructions - English
  • Consumer Needs Evaluation Instructions - Spanish
  • Consumer Service Request Checklist
  • Consumer Service Request Form
  • Consumer Service Verification Form - Congregate Meals
  • Consumer Service Verification Form - Home Delivered Meals
  • Consumer Service Verification Form - Transportation Services
  • Health Information Release Form
  • In-Kind Reporting Forms
  • Nutrition Education Awareness Certification Form
  • Nutritional Risk Assessment
  • Program Income Deposit Summary Workbook
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