Forms, Policies, and Helpful Links
Forms, Policies, & Helpful Links
Russell Mercier Senior Center- Survey & Newsletter Request Form
We would like to know how to best meet your needs. Please fill out this survey and return it to us at 14 Stonecroft Drive Hebron, CT 06248, with your ideas for new programs, services, and opportunities that you would like to see at the Russell Mercier Senior Center.
Additionally, by returning this survey to us and completing the name & address portion at the bottom, you will be placed on our monthly newsletter mailing list. The newsletter is mailed via US mail and is done so at no charge to you.
Tips for Completion of the Russell Mercier Senior Center Registration Form
PLEASE REVIEW THESE HELPFUL TIPS BEFORE COMPLETING THE REGISTRATION FORM BELOW.
Russell Mercier Senior Center- Registration Form
Everyone who participates in activities at the Russell Mercier Senior Center or attends trips sponsored by the Russell Mercier Senior Center, must complete this form and return it to 14 Stonecroft Drive Hebron, CT 06248.
“Help Us Find Your House in an Emergency” (Hebron Volunteer Fire Department) Form
The Hebron Volunteer Fire Department will make a reflective sign with your house number on it, to aid them in finding your house in an emergency. Please complete this form and return it to the Hebron Fire Department, to order your sign.
“How to Alert 9-1-1 to Your Special Needs”
When a call is placed to the 9-1-1 alert center, the caller’s home address appears on the screen. Additionally, by filling out this form, the call center can be made aware of your special needs such as visual, auditory, and mobility impairment. By providing them with this information, they will be better able to assist you. Please print the form and return it to AT&T.
Town of Hebron Dial-a-Ride Guidelines
If you are looking to schedule transportation with us, reading these guidelines will give you additional information regarding when to call and schedule, the types of rides that we are able to provide, and to whom we are able to provide them.
Russell Mercier Senior Center Policies for Building Use During Non-Operating Hours
The Town of Hebron allows the Russell Mercier Senior Center to be used during non-operating hours, by non-profit and town organizations that have a certificate of liability insurance, naming the town as additional insured.
Those who fulfill the above criteria should fill out the attached form and return it to the Senior Center for approval.
Helpful Contact Information & Links
Long Term Care
Connecticut Long Term Care: Services & Supports –
This is a great resource to provide you easy access to comprehensive information on private and public long-term care (LTC) services and supports in Connecticut, including: Home Care, Community Care, Housing, and Institutional/Nursing Home Care, as well as information for caregivers.
Connecticut Partnership for Long Term Care –
A collaboration between The State of Connecticut and private insurance companies, the Connecticut Partnership for Long Term Care provides Connecticut residents with unbiased information about the need for long-term care; the ability to find and purchase quality, affordable long-term care insurance; AND a way to get needed care without depleting assets.
Prescription Assistance & Insurance
Prescription Assistance & Insurance
Connecticut Insurance Department –
The role of the Connecticut Insurance Department is to provide assistance and information to the public and to policy makers, by regulating the insurance industry in a fair and efficient manner, and to ensure fairness by enforcing the insurance laws.
Connecticut Department of Social Services: Pharmaceutical Assistance Contract to the Elderly & Disabled (ConnPACE) Application –
This link will take you to the application for enrollment in the ConnPACE program, which helps eligible senior citizens and people with disabilities, afford the cost of most prescription medicines as well as insulin and insulin syringes.
The Center for Medicare Advocacy –
The Center for Medicare Advocacy, Inc. is a national non profit, non-partisan organization that provides education, advocacy, and legal assistance to help elders and people with disabilities obtain Medicare and necessary health care.
CT Housing Search –
This housing locator service allows people to find available housing that best fits their needs.
Connnecticut Commission on Aging (COA) –
The COA is an independent state agency devoted to enhancing the lives of older adults and promoting responsible public policy in preparation for an aging state and nation. The mission of the COA is to advocate on behalf of Connecticut’s present and future generations of older adults and to serve as an objective, credible source of information on issues affecting them.
2.1.1 or 1.800.203.1234
2-1-1 is a free community service. You can call 2-1-1 to get information, or to seek help in a crisis.
Benefits CheckUp: A Service of the National Council on Aging –
Check which programs you or your family members may be eligible for, based on your individual criteria and zip code, anywhere in the USA.
Social Security –
Home Care Providers Serving Hebron –
Click here to see a listing of Home Care Providers who serve Hebron and the types of services that they provide as well as their contact information.
Connecticut Department of Social Services –
Programs for Elders –
This website details general Department of Social Services’ programs that you may be eligible for as an older individual.
Aging Services Division –
The Aging Services Division of DSS ensures that Connecticut’s elders have access to the supportive services necessary to live with dignity, security, and independence. They are an excellent resource for learning about the services that Connecticut has to offer.
North Central Area Agency on Aging –
Serving 38 towns, including Hebron, in the North Central part of Connecticut, NCAAA is a regional non-profit organization that assists in the planning and organization of services to assist individuals in the aging population. Additionally, NCAAA obtains funding for towns, such as Hebron, to be distributed for programs such as Dial-a-Ride transportation and the AHM Youth Chore program.
American Lung Association of New England: Programs for Adults –
Visit this website or call the American Lung Association for information on flu and pneumonia vaccination clinics and other beneficial programs for adults.
For flu shot information: 1.888.668.6358