Request Changes To The Aging in Place Hub Page – The Aging in Place Directory Hub

Complete the following form to let us know what changes you are requesting for your Aging in Place Hub page. Only fill out your Name, whatever information you want changed and then click on the Consent box at the end.

Personal Information

Name *

Personal Email Address

Company Information

Company Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Map

Phone

Website

Services for Aging In Place That You Provide

Virtual Services

Social Media Information

Facebook

YouTube

Instagram

Other Social Media Accounts

Education

Training and/or Certifications

Notice For Those Without Certification / Training

If you do not possess a certification or training for aging in place services (i.e., CAPS, SRES, etc.) then we will add the following note on your directory page.

Important Note: This company has not completed training specific to aging in place. Please check with them if they are collaborating with an aging-in-place specialist, otherwise we strongly recommend consulting with one to ensure your needs are met safely and effectively.

Images

Images For Directory Page

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Optional: Provide up to 5 images to be included on your directory page.

YouTube Video