Compliance, HIPAA and Complaint Submission

This page contains information and tools related to AgeWays' compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Contact Us

You can either call us directly at (800) 852-7795

or fill out the form below to reach out to an AgeWays Resource Specialist

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Full Name*

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Michigan County of Residence

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City of Person Needing Services

County for Services Needed

Age of the Person Needing Services

Description of the Problem / Services Needed*

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Please note that this form is not secure. Please do not provide Personal Health Information (PHI), Medicaid or Medicare numbers, or social security numbers via this form. If you are a professional who would like to make a referral to the AgeWays Nonprofit Senior Services, please do not use this form. Instead, please call 800-852-7795.