Referrals

North Central Texas Area Agency on Aging has an open referral system and accepts referrals from older adults, caregivers, friends, and advocates.

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You can make a referral by calling 800-272-3921 ext. 59194, or by completing the referral forms below and returning them via email, fax (940-222-4741), or mail (NCTAAA, P.O. Box 5888, Arlington, TX 76005-5888).

  • Care Coordination Screening Criteria (Program that provides temporary assistance to people at least 60 years of age) –Word or PDF

  • Caregiver Support Screening Criteria (Program that provides temporary assistance to: 1) informal caregivers of people who are aged 60+; 2) informal caregivers aged 55+ who live with and care for family members who are aged 19-59 and have disabilities; OR 3) informal caregivers aged 55+ who live with and have primary custody of grandchildren (or other relatives who are NOT biological children) who are aged 18 and younger – Word or PDF

  • Care Coordination Program Intake/Referral Form – Word or PDF

  • Caregiver Support Program Intake/Referral Form – Word or PDF

 

Contact Information 
Doni Green, Director of Aging
Phone: 800-272-3921
Fax: 817-695-9274