Quick Screen for Assistance
This quick screening tool will help determine if your needs meet high priority criteria for programs and services provided under the Older Americans Act.
This tool is designed primarily for:
- individuals age 60+,
- caregivers age 60+ or providing care to someone age 60+, and
- individuals of any age with a dementia diagnosis.
However, individuals of any age/disability may use this form to submit contact information to receive a call back for information, referrals and/or options counseling regarding long-term care needs.
Please note that most Older Americans Act services in Georgia currently have a waiting list. Individuals who meet the high priority criteria may not receive services immediately; individuals who do not meet the high priority criteria are generally expected to have a waiting time of more than 12 months.
To get started, click on link below:
