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of Santa Cruz and San Benito counties
Falls Prevention Resources
Enrollment For Services
Seniors Council Falls Prevention Enrollment Form
(DOCX)
Seniors Council Falls Prevention Enrollment Form
(PDF)
Fill out the form and contact the SENIORS COUNCIL at (831) 688-9217 ext. 113 or email
brittb@seniorscouncil.org
to make an appointment for an in-home assessment.
Individuals
What Can YOU Do
(PDF)
Stay Independent
(PDF)
Check For Safety
(PDF)
en español
Lo que USTED puede hacer
(PDF)
Mantegna su independencia
(PDF)
Verifique la Seguridad
(PDF)
Caregivers/Cuidadores de famila
Protect You Loved Ones
(PDF)
en español
Proteja a sus seres queridos
(PDF)
Home Safety Self Assessment Tool (HSSAT)
Bathroom
Bedroom
Entrance to Back/Side Door
Entrance to Front Door and Front Yard
Garage
Hallway or Foyer
Kitchen
Laundry Room/Basement
Living Room
Staircases
Combined