Aging In Stride Reader Support Center

Forms (PDFs)

Form 1:	Successful Aging Checkup
Form 5:	Checklist for Reducing Your Risk of Falling
Form 6-A:	Home Safety Inspection Checklist
Form 6-B:	Home Repairs and Home Modifications Checklist
Form 7:	Checklist for Older Drivers
Form 9:	Needs Assessment for Living on Your Own
Form 10:	Worksheet for Hiring a Home Helper
Form 11:	Checklist for Choosing a Home Health Agency
Form 13:	"Is It Time to Move?" Retirement Housing Planning Sheet
Form 14:	Worksheet for Evaluating a Senior Living Community
Form 15:	Retirement Living Move-in Guide
Form 17:	Checklist for Communicating Clearly with Your Doctor
Form 18-A:	List of Current Medications
Form 18-B:	Medications Check-off List
Form 24:	Personal Values Statement
Form 25:	Worksheet for Evaluating a Nursing Facility
Form 26-A:	Nursing Facility Move-in Checklist
Form 26-B:	Resident/Family Care Conference Worksheet
Form 27:	Worksheet for Questions, Concerns and Complaints
Form 28:	Confidential Personal Information
Form 33:	Checklist for Selecting Long-Term Care Insurance
Form 37:	Checklist for Selecting a Hospice or Palliative Care Provider
Form 38:	Funeral or Memorial Service Planner
Form 40:	Family Meeting Planner
Form 42:	Checklist for Selecting and Working with a Geriatric Care Manager
Form 45:	Health Care Representative's Discussion Checklist