Would you or someone you know benefit from one of the evidence-based health programs offered through Healthy Aging NC? Our referral form makes it easy to make the referral for yourself, a friend, a relative, or for a patient, if you are a health professional.
When you refer yourself or someone else to one of our programs, someone from your regional Area Agency on Aging or Healthy Aging NC will contact you within 2-3 business days.
If you aren’t sure which program, that’s ok! Please go ahead and submit the form and we’ll help you to figure that out.
For more information on the which program is right for you visit one of the pages below:- A Matter of Balance
- Tai Chi for Arthritis and Fall Prevention
- Living Healthy with Chronic Disease Management
- Living Healthy with Chronic Pain Management
- Living Healthy with Diabetes Self Management
- Health Coaching
- Tomando Control de su Salud
- Programa de Manejo Personal de la Diabetes
- Walk with Ease
Please Note: Filling out this form means that you are asking to be connected to a service provider in your area who is able to meet a social or medical need that you or someone in your care may have. Once completed, this form is sent to Healthy Aging NC, who will connect you to the region where you’d like to receive care or services. Someone from your regional Area Agency on Aging or Healthy Aging NC will contact you within 2-3 business days. The information you enter is completely confidential and there is no cost for this service.