Louisiana's Governor's Office of Elderly Affairs runs Elderly Protective Services (EPS), which investigates abuse, neglect, exploitation and extortion of adults aged 60 and older. Its online report form is meant for situations that do not need to be investigated right away. A clinician can use it for a non-urgent concern about an older patient; EPS then assesses the person's risk of harm and arranges protective services where needed.
Any reporter, including a health care professional, completes the whole online form.
Download the current version from the source each time; forms change without notice.
Elderly Protective Services online report form
This form is completed online with Louisiana Governor's Office of Elderly Affairs, Elderly Protective Services, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
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Elderly Protective Services covers adults aged 60 and older. GOEA refers reports about adults aged 18 to 59 to Adult Protective Services, which takes them by phone. Use the EPS online form only for patients 60 or older.
GOEA warns that online reports may take more than 48 hours to process because of high volume, so the form is for situations that do not need immediate investigation. Elder abuse reports can be made by phone 24 hours a day, seven days a week, and life-threatening situations should go to 911 immediately.