Learn what is available. Attend “Building Agency Connections” March 24, 2011
Building Agency Connections
Medicaid & Health Resources Registration Form
Date: March 24, 2011
Location: Region 5 ESC – Silsbee Conference Center
3545 Hwy 96 Bypass
Silsbee, Texas 77656
Time: 8:15 a.m. – 4:00p.m.
Information will be presented regarding available benefits, services and eligibility criteria for various agencies.
The following agencies/organizations will be represented
- Deep East Texas Council of Government
- Department of Aging & Disability Services (DADS)
- Department of Assistive and Rehabilitative Services (DARS)
- Department of Family and Protective Services (DFPS)
- Department of State and Health Services (DSHS)
- Family Services of Southeast Texas
Health and Human Services Commission (HHSC)
- Internal Revenue Service
- One Church One Child
- Region 5 Education Service Center
- Social Security Administration (SSA)
- Southeast Regional Planning Commission
- Spindletop Center
- Texas Workforce Solutions
FOR REGISTRATION PLEASE COMPLETE THE FOLLOWING AND RETURN TO DANETTE FLOYD via fax: 409.923.5471 or email dfloyd@esc5.net by March 1, 2011.
Parent Agency Other
Name:
Agency/Organization:
Phone#:
Complete Office Address (Including zip code):
Email Address:
County/Counties: (Check all that apply)
Angelina
Hardin
Houston
Jasper
Jefferson
Nacogdoches
Newton
Orange
Polk
Sabine
San Augustine
San Jacinto
Shelby
Trinity
Tyler
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Gail Cawley Showalter 