Secretary
Dr. Courtney N. Phillips
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Aging and Adult Services
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About Us
Leadership
Facility-Based Programs
Home & Community-Based Services
Long-Term Care Systems Change
Permanent Supportive Housing
Protective Services
Palliative Care Advisory Council
Resources
OAAS Forms
August 26, 2021
Forms for various programs and services offered through the Office of Aging and Adult Services:
LT-PCS Rights and Responsibilities Form
Statement of Medical Status & Instructions
MFP/My Place LA Form
LTPCS Service Log and Instructions
CCW Service Log and Instructions
Request for Payment Override Form and Instructions
Confidentiality Consent for Shared PAS and LT-PCS
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