Online Registration For Free Telephone Support Group For Family Caregivers

FREE TELEPHONE SUPPORT GROUP FOR FAMILY CAREGIVERS OF OLDER ADULTS

(Please Complete this Online Registration Form to Participate.)

Please check the Session(s) you plan to participate in.

Scroll down and provide your registration information.

(The 2nd Tuesday of each month, we will have a specific topic
with discussion and time for you to share how you are doing.)

Tuesday, August 13, 2019 7:00 p.m. - 8:00 p.m. *Caregiver Stress* Join us for this Free Telephone Support Group for Family Caregivers of Older Adults. An Access Phone Number & Code will be provided to participants. Note to Participants: Please call in 5 minutes before Telephone Support Group is scheduled to begin. Fairfax County, VA [More Details ...]	Tuesday, September 10, 2019 7:00 p.m. - 8:00 p.m. *Advanced Care Planning and End of Life Decisions* Join us for this Free Telephone Support Group for Family Caregivers of Older Adults. An Access Phone Number & Code will be provided to participants. Note to Participants: Please call in 5 minutes before Telephone Support Group is scheduled to begin. Fairfax County, VA [More Details ...]
Tuesday, October 8, 2019 7:00 p.m. - 8:00 p.m. *Caregiving Over the Holidays* Join us for this Free Telephone Support Group for Family Caregivers of Older Adults. An Access Phone Number & Code will be provided to participants. Note to Participants: Please call in 5 minutes before Telephone Support Group is scheduled to begin. Fairfax County, VA [More Details ...]	Tuesday, November 12, 2019 7:00 p.m. - 8:00 p.m. *National Family Caregiver Month* Join us for this Free Telephone Support Group for Family Caregivers of Older Adults. An Access Phone Number & Code will be provided to participants. Note to Participants: Please call in 5 minutes before Telephone Support Group is scheduled to begin. Fairfax County, VA [More Details ...]
Tuesday, December 10, 2019 7:00 p.m. - 8:00 p.m. *Getting to Know Your New Loved One / Grief and Loss of the Loved One You Knew* Join us for this Free Telephone Support Group for Family Caregivers of Older Adults. An Access Phone Number & Code will be provided to participants. Note to Participants: Please call in 5 minutes before Telephone Support Group is scheduled to begin. Fairfax County, VA [More Details ...]

Attendee Contact Information


	Please enter your name.
Title
First Name*
Middle Name
Last Name*

	Please provide your e-mail address and telephone number so that we may contact you if necessary.
E-mail
Telephone	-- Ext.

	Please provide your street address. This information is needed so that Fairfax County can apply for federal funding to support the program. Thank you.
	Please send information about future events to my e-mail address.
Street Address

City	State Zip Code

	1. Please type below the care recipient's name and their relationship to you. (Your information is kept strictly confidential. This information is needed so that Fairfax County can apply for federal funding to support the program. Thank you.) For Questions, Requests or Comments, please call 703-324-5376, TTY 711, or e-mail Daphne.VanTiem@fairfaxcounty.gov.







	Will you need a reasonable ADA accommodation? No Yes
	All ADA requests must be confirmed with office staff. Please call 703-324-5376, TTY 711 to confirm.

If you have further questions about the Telephone Support Group for
Family Caregivers of Older Adults, please call 703-324-5376, TTY 711.

Subscribe to Caregiver's Corner Online, a free monthly e-newsletter for family caregivers

Subscribe to Golden Gazette, a free monthly newspaper

Fairfax County Department of Family Services
Fairfax Area Agency on Aging
12011 Government Center Parkway, Suite 708
Fairfax, Virginia 22035-1104

Aging, Disability and Caregiver Resources Line: 703-324-7948
Toll-Free: 1-866-503-0217
TTY: 711 | Fax: 703-653-9577
E-mail: Fairfax Area Agency on Aging
Website: https://www.fairfaxcounty.gov/familyservices/Older-Adults

* * * * * * * *

Web Privacy Policy

Sponsored by the Fairfax County Department of Family Services
Fairfax Area Agency on Aging

**Weather Policy - If Fairfax County Government is closed on the day
of your Telephone Support Group, your group will be cancelled.

Online Registration For Free Telephone Support Group For Family Caregivers

FREE TELEPHONE SUPPORT GROUP FOR FAMILY CAREGIVERS OF OLDER ADULTS

(Please Complete this Online Registration Form to Participate.)

Please check the Session(s) you plan to participate in.

Scroll down and provide your registration information.

1. Please type below the care recipient's name and their relationship to you.

* * * * * * * *

Web Privacy Policy

Awards
Site Feedback

Main Address

Site Tools

Support

Additional Resources

Online Registration For Free Telephone Support Group For Family Caregivers

FREE TELEPHONE SUPPORT GROUP FOR FAMILY CAREGIVERS OF OLDER ADULTS (Please Complete this Online Registration Form to Participate.)

Please check the Session(s) you plan to participate in. Scroll down and provide your registration information.

1. Please type below the care recipient's name and their relationship to you.

* * * * * * * *

Web Privacy Policy

Awards Site Feedback

Main Address

Site Tools

Support

Additional Resources

FREE TELEPHONE SUPPORT GROUP FOR FAMILY CAREGIVERS OF OLDER ADULTS

(Please Complete this Online Registration Form to Participate.)

Please check the Session(s) you plan to participate in.

Scroll down and provide your registration information.

Awards
Site Feedback