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Home Modification Directory form

Home > National Directory > Home Modification Directory form
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Thank you for your interest in adding your home modification program, resource, or company to our National Directory. Please complete the form below and press “send.” Thank you!





    (Format xxx-xxx-xxxx)









    Minor home modifications (e.g., grab bars, raised toilet seats, handheld showers, handrails, lever door handles)Major home modifications (e.g., remodel bathrooms, adjust counter/cabinet heights, ramps, elevator/platform or chair lifts, widen doorways, roll-in showers)Repairs (e.g., roofing, electrical, carpeting/floors, stair repairs)Home assessmentsRefers to providers (e.g., Home modification program, occupational/physical therapists, funding sources)Raise consumer and/or professional awarenessAdvocacy for home modification policies and fundingParticipate in task forces/coalitions or planning activities with other agenciesIntegrate home modification or repairs within existing home and community-based and/or long-term care programsPartners with state or local non-profit home modification programs (e.g., Rebuilding Together, Habitat for Humanity, etc...)Other(s) (please describe):


    Older Americans Act Title IIIBOlder Americans Act Title IIIEMedicaid Home and Community-Based WaiverAssistive Technology Act programs/Department of Education (e.g., grants for durable medical equipment)City/County Housing and Community Development Department (e.g., Community Development Block Grants, HOME Block Grants)City/County Department of Housing and Urban Development: Tribes and Tribally Designated Housing EntitiesWeatherization Assistance Program/Department of Energy, State Housing Finance Agency (e.g., home modification loan programs)State Block Grants (e.g., Social Services)State General RevenuesState Funded In-Home Service ProgramState and/or local tax programs (e.g., state sales tax rebates, local tax credits)Local General and Millage FundsPrivate PayFundraisingGrant fundsOther(s) (please describe):

    yesno