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.