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Become a Service Provider

Are you a provider of services for Iowans aged 60 and over or their caregivers? Would you like to be included in the Search for Services database on this web site? Are you already listed in our Search for Services database but would like to update that information? 

The forms and documents found here will assist you in being part of this valuable referral service for older Iowans and their loved ones. 

Steps: 

Read the Inclusion/Exclusion Criteria to make sure your service qualifies to be listed. 

Review the Types of Services Included in Search for Services Database 

Complete the following form:
 

Service Intake Form

Overall Agency Information


Physical Address (including zip code):

For out-of-state agencies, please select 'Out of State' in the county dropdown field below.


Mailing Address (if different from physical address):




Services

Below is a list of the types of services we include in our database.  Please mark all of the services you provide from the list below and complete the corresponding forms (found on this web-site) for each service. For more information about our terminology, refer to the Service Definitions page or the Types of Services PDF.


Name/Phone/E-mail of Person Completing This Form




    Please repeat this process annually (or sooner, if your information changes) 

    How long will this take?
    10 – 30 minutes of your time to complete the necessary forms, depending on the variety of services you offer. 

    Allow approximately 10 days for our staff to review this information and enter it into the Search for Services database. 

    Forms/Policies 
    Complaint Policy and Procedures

    Documents require Adobe Reader. Click here to download.

    Need information or support to make a decision?
    1-866-468-7887
    We will connect you with one of our trained and certified experts.