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Forms

Where available, you can submit a form by entering information in the appropriate text fields and clicking the Submit button,  or you can download forms and fill them out when it's convenient for you. Many of the forms still require your signature; please either mail or deliver these to our offices.

Please note, most Dutchess County forms are available as PDF documents. This format requires that you have Adobe Acrobat Reader installed on your PC. Click on the Adobe Acrobat Reader icon Adobe Acrobat icon to download a free copy of this software.

View All Dutchess County Forms (A - Z)

All Forms


A Matter of Balance: Managing Concerns about Falls Participant Application (.pdf)

A Matter of Balance is a community class specifically designed to reduce fear of falling, stop the fear of falling cycle, and improve activity levels among community-dwelling older adults. The program includes eight two-hour classes presented by trained coaches using an extensively detailed training manual and two instructional videos.  To enroll in the class, complete the A Matter of Balance:  Managing Concerns about Falls Participant Application (.pdf)



Volunteer Registration Form (.pdf)

Volunteers are needed to deliver meals to the homebound elderly. Most volunteers work for an hour each week delivering meals in their area.

Volunteers are also needed for our Senior Exercise Program, Insurance Counseling, Senior Picnics, and Friendship Center / Nutrition Site help.

Required: 



Senior Exercise Program Application, Doctor's Consent Form, Statistical Information Sheet (.pdf)

This exercise program is a progressive weight training and balance improvement program designed for seniors.

Required: