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CareGiver Transitions Subscriber Form
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A resource directory for (and by) family caregivers, customized for 12 North Texas counties + National Edition
Select your North Texas County (or National Edition)
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Collin
Dallas
Denton
Erath
Hood
Kaufman
Palo Pinto
Parker
Rockwall
Somervell
Tarrant
Wise
National
Other
If 'other", please specify your region of interest:
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Name
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First
Last
Email
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I am
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currently caring for a family member or friend
a senior services or healthcare professional
representing a faith based organization
representing a patient/caregiving support organization
Other
Tell us what kind of help would help you.
Your feedback helps develop community support resources provided by CareGiver Transitions.
My biggest caregiving challenges are (check all that apply):
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Emotional impact (stress, isolation, guilt)
Balancing work and caregiving responsibilities
Getting a break/Loss of personal time/sleep
Building my support network (family, friends, co-workers, caregiving advocates, healthcare professionals, support organizations)
My physical health
Impact on my personal finances
Managing personal care needs (i.e. bathing/hygiene/toileting, meals, home maintenance/modifications, etc.)
Managing changes in health care needs (i.e. after hospital discharge, a fall, a new diagnosis, etc.)
Support for caregiving concerns impacting family caregivers of color, LGBTQ, and/or with ability differences
Cost of in home care or assisted living expenses
Finding local community resources (support groups, social services, education, etc.)
Talking about end of life issues, safety, finances, other difficult conversations
Depression/anxiety/burnout
Other
If 'other", please specify your concern:
For Health Care/Senior Care Providers & Professionals, Businesses, and Community Organizations
I'm interested in training programs to help professionals and community leaders better serve family caregivers.
Send details via email
I'm interested in sponsorship options for the next Caregiving Community Guide publication
Send details via email
Business or Organization Name
Business Phone Number
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Thank you for the care you give.
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