Georgia

Health Care for Seniors

Forms and Tool Kits

  • Advance Directive for Health Care

    This Advance Directive for Health Care form can be completed online. Click this link to go to a website where you can create an "Advance Directive for Health Care" that you can print, sign and have witnessed. The site will ask you a series of questions about your health care choices and then create an Advance Directive for Health Care based on YOUR ANSWERS. PLEASE NOTE: This is NOT a fill-in-the-blank form. IMPORTANT: If you use Mozilla, you must select Word or Wordpad when the program assembles the document. Content Detail

    By:
    Atlanta Legal Aid Society Inc
  • Georgia Medicare Savings Program Applications

    This site will allow you to apply online for the type of Medicaid that provides partial financial assistance with Medicare premiums, deductibles and co-payments to certain low income Medicare beneficiaries. Read More

    By:
    US Department of Health and Human Services
  • Georgia Medicare Savings Program Applications

    This site will allow you to apply online for the type of Medicaid that provides partial financial assistance with Medicare premiums, deductibles and co-payments to certain low income Medicare beneficiaries. Content Detail

    By:
    US Department of Health and Human Services
  • Georgia Common Point of Access to Social Services

    COMPASS is a quick and easy way for people in Georgia to get answers to questions about health and human services. Content Detail

  • Limited Financial Power of Attorney for QIT

    This Limited Financial Power of Attorney for QIT (or Miller Trust) form can be completed online. Click this link to go to a website where you can create a "Limited Financial Power of Attorney" that you can print, sign and have witnessed. The site will ask you a series of questions about your financial choices and then create a Limited Financial Power of Attorney based on YOUR ANSWERS. PLEASE NOTE: This is NOT a fill-in-the-blank form. IMPORTANT: If you use Mozilla, you must select Word or Wordpad when the program assembles the document. Content Detail

    By:
    Atlanta Legal Aid Society Inc
  • OSAH Form 1 - DFCS Request for Fair Hearing with Office of State Administrative Hearings

    When you have been denied Medicaid or had your Medicaid Benefits lowered or terminated, you can ask for a fair hearing. You can fill out a fair hearing request letter and mail it or deliver it to your local Division of Family and Children Services (DFCS) office to begin the process. When DFCS gets your letter asking for a fair hearing, they use this form to process your appeal with the Office of State Administrative Hearings (OSAH). You can give DFCS this form and ask them to fill it out and send it to OSAH and to the Department of Human Resources Legal Services to process your appeal. Read More

    By:
    Georgia Department of Human Resources