{"id":10,"date":"2019-04-09T15:13:43","date_gmt":"2019-04-09T15:13:43","guid":{"rendered":"http:\/\/negrc.org\/aging\/?page_id=10"},"modified":"2025-07-30T09:24:47","modified_gmt":"2025-07-30T09:24:47","slug":"eligibility","status":"publish","type":"page","link":"https:\/\/negrc.org\/aging\/getting-started\/eligibility\/","title":{"rendered":"Eligibility"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; custom_padding=&#8221;0|0px|0px|0px|false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_row module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;0|0px|8px|0px|false|false&#8221; hover_enabled=&#8221;0&#8243; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;callout&#8221; _builder_version=&#8221;4.27.4&#8243; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p><strong>There are a variety of long term support services and programs available. Eligibility factors can include but are not limited to age, income, level of impairment, and need. Please contact the ADRC to speak with an Options Counselor to learn more. (888) 808-8020<\/strong><strong style=\"font-size: 22px;\">.<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; width=&#8221;100%&#8221; custom_margin=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_button button_url=&#8221;https:\/\/hssgaprod.wellsky.com\/assessments\/?WebIntake=2CBCF6CD-9412-4839-8EF8-5864FA6BA0F9&#8243; url_new_window=&#8221;on&#8221; button_text=&#8221;ARDC Web Intake Form&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;16px&#8221; button_text_color=&#8221;#ffffff&#8221; button_bg_color=&#8221;#94119F&#8221; button_border_width=&#8221;0px&#8221; button_border_radius=&#8221;2px&#8221; button_font=&#8221;|600|||||||&#8221; button_use_icon=&#8221;off&#8221; custom_margin=&#8221;15px|15px|15px|15px|true|true&#8221; custom_padding=&#8221;8px|20px|8px|20px|true|true&#8221; custom_css_before=&#8221;content:&#8221;;||background-color: #ddd;||width:2px;\t||height:43px;||display:inline-block;||opacity:1;||position:absolute;||left:0px;||top:1px;&#8221; custom_css_main_element=&#8221;width:60%;||&#8221; global_colors_info=&#8221;{}&#8221; custom_css_before_last_edited=&#8221;on|tablet&#8221; custom_css_before_tablet=&#8221;content:&#8221;;||background-color: #ddd;||width:2px;\t||height:43px;||display:inline-block;||opacity:1;||position:absolute;||left:0px;||top:1px;&#8221; custom_css_before_phone=&#8221;content:&#8221;;||background-color: #ddd;||width:2px;\t||height:43px;||display:inline-block;||opacity:1;||position:absolute;||left:0px;||top:1px;&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.27.4&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;11px||0px|||&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Referral Form<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;12px|||||&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;paragraph2&#8243; _builder_version=&#8221;4.27.4&#8243; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>If you would like for one of our certified personnel to contact you to discuss your individual questions and needs, please complete the form below.<br \/>If you have questions or need help, please give us a call (<strong>706) 583.2546<\/strong> or (<strong>888<\/strong><strong>) 808-8020<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ffffff&#8221; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;20px|20px|20px|20px|true|true&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<i style=\"font-size: 20px;color: #94119f\" class=\"fas fa-bell\"> <\/i> <strong> Heads Up!<\/strong>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]If you are making a referral on behalf of someone else, please provide <strong>your name<\/strong> and <strong>phone number<\/strong> in the alternative contact section below and the reason for the referral in the message box below.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row padding_top_bottom_link_1=&#8221;true&#8221; padding_left_right_link_1=&#8221;true&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ffffff&#8221; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_margin=&#8221;30px||&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;10px|40px|10px|40px&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f47034-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"47034\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/aging\/wp-json\/wp\/v2\/pages\/10#wpcf7-f47034-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"47034\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f47034-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<h4>Full Name &amp; Age\n<\/h4>\n<p><div class='one_third'>\n\t\t\t\t\t<\/p>\n<div class=\"form-group\">\n\t<p><label>First Name<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"First-Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter your first name\" value=\"\" type=\"text\" name=\"First-Name\" \/><\/span>\n\t<\/p>\n<\/div>\n\t\t\t\t<\/div><div class='one_third'>\n\t\t\t\t\t<\/p>\n<div class=\"form-group\">\n\t<p><label>Last Name<\/label>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Last-Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter your last name\" value=\"\" type=\"text\" name=\"Last-Name\" \/><\/span>\n\t<\/p>\n<\/div>\n\t\t\t\t<\/div><div class='one_third et_column_last'>\n\t\t\t\t\t<\/p>\n<div class=\"form-group\">\n\t<p><label>Age<\/label>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter your age\" value=\"\" type=\"text\" name=\"Age\" \/><\/span>\n\t<\/p>\n<\/div>\n\t\t\t\t<\/div><div class='clear'><\/div>\n<\/p>\n<h4>Location\n<\/h4>\n<p><div class='two_third'>\n\t\t\t\t\t<\/p>\n<div class=\"form-group\">\n\t<p><label>City<\/label>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"City\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name of your city\" value=\"\" type=\"text\" name=\"City\" \/><\/span>\n\t<\/p>\n<\/div>\n\t\t\t\t<\/div><div class='one_third et_column_last'>\n\t\t\t\t\t<\/p>\n<div class=\"form-group\">\n\t<p><label>County<\/label>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"County\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name of your county\" value=\"\" type=\"text\" name=\"County\" \/><\/span>\n\t<\/p>\n<\/div>\n\t\t\t\t<\/div><div class='clear'><\/div>\n<\/p>\n<h4>Contact Information\n<\/h4>\n<p><div class='one_third'>\n\t\t\t\t\t<\/p>\n<div class=\"form-group form-phone\">\n\t<p><label>Phone Number<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Phone-Number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"(555) 555-5555\" value=\"\" type=\"text\" name=\"Phone-Number\" \/><\/span>\n\t<\/p>\n<\/div>\n\t\t\t\t<\/div><div class='two_third et_column_last'>\n\t\t\t\t\t<\/p>\n<div class=\"form-group\">\n\t<p><label>Email Address<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Email-Address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter your email address\" value=\"\" type=\"email\" name=\"Email-Address\" \/><\/span>\n\t<\/p>\n<\/div>\n\t\t\t\t<\/div><div class='clear'><\/div>\n<\/p>\n<h4>Alternate Contact\n<\/h4>\n<p><div class='one_half'>\n\t\t\t\t\t<\/p>\n<div class=\"form-group\">\n\t<p><label>First Name<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"First-Name-Alternate\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter your first name\" value=\"\" type=\"text\" name=\"First-Name-Alternate\" \/><\/span>\n\t<\/p>\n<\/div>\n\t\t\t\t<\/div><div class='one_half et_column_last'>\n\t\t\t\t\t<\/p>\n<div class=\"form-group\">\n\t<p><label>Last Name<\/label>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Last-Name-Alternate\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter your last name\" value=\"\" type=\"text\" name=\"Last-Name-Alternate\" \/><\/span>\n\t<\/p>\n<\/div>\n\t\t\t\t<\/div><div class='clear'><\/div>\n<\/p>\n<h4>Message\n<\/h4>\n<div class=\"form-group\">\n\t<p><label>Please state any important message you have for us here:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Your-Message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter your comments here\" name=\"Your-Message\"><\/textarea><\/span>\n\t<\/p>\n<\/div>\n<p>&nbsp;\n<\/p>\n<div class=\"form-group\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit Form\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>There are a variety of long term support services and programs available. Eligibility factors can include but are not limited to age, income, level of impairment, and need. Please contact the ADRC to speak with an Options Counselor to learn more. (888) 808-8020.Referral FormIf you would like for one of our certified personnel to contact [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":8,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-10","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Eligibility - Aging<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/negrc.org\/aging\/getting-started\/eligibility\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Eligibility - Aging\" \/>\n<meta property=\"og:description\" content=\"There are a variety of long term support services and programs available. 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