Wound Clinic Directory Listing Form

The purpose of the wound care clinic directory is to help patients and caregivers locate sources for wound care and management. It also provides a networking guide for patients, caregivers and wound care professionals. To include your listing in this annually published directory, please fill out the below information. There is currently no charge for this service.

Please note that the hard copy form of this directory is compiled annually and is available to AAWC Members free of charge. The directory is also available on CD ROM. Members may purchase the CD ROM, and non-AAWC members may purchase the hardcopy and/or CD ROM while supplies last. Click here for an Order Form.

Please provide the following clinic/wound care center information:

Clinic Name
Director/Manager
Affiliation/Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
Clinic URL if Available

Select any of the following options that apply:

We offer Management/Counseling Services
We offer Products and Other Services

Choose one of the following options:

I am authorized to submit and allow this information to be published
I am not authorized to submit this information for publication

Comments:


Enter the date of this submission:

-- mm/dd/yy

Inclusion in the directory is neither an endorsement or affidavit of care and the AAWC and associates accept no responsibility for information, care or treatment given in these listings. By listing in the directory, institutions and individuals indemnify AAWC from any and all events, results, procedures, care and associations and outcomes of the listings and their associates.


Copyright © 2005 [AAWC]. All rights reserved.
Revised: January 2005
Return