Add Institution/Organization

Thank you for contributing to the growth of the Directory of Palliative Care Institutions and Organizations. Your interest in adding a new institution/organization is appreciated.

Please note: This form must be submitted in English. If you submit it in another language, it will be translated by the IAHPC office.

Institution/organization information

Name

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Only information for institutions, hospices and organizations will be included in the directory. Due to space limitations, listings for individuals can't be added.

Description Maximum 100 words

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Location information

Region

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State

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City

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Address No postal box please, the street address is needed for the exact geolocation in the map.

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Contact information

Contact person

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Website

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Contact person email address

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If you wish not to have the contact person email address publicly displayed in the directory check this box.

Contact phone

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If you wish not to have the phone publicly displayed in the directory check this box.

By checking this box you agree

to have your organization/service listed in the IAHPC services directory,
to be contacted by the IAHPC if there is a need to confirm or update any information,
and confirm that you are officially authorized by the institution/organization to send the information to this directory

The IAHPC confirms that your contact information will NOT be used for commercial purposes, sold or shared with vendors. Read the IAHPC communications and privacy policy.