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Creative Solutions for the Senior Living Field
Contact Us

Please use this form to contact us from our website. In addition, you may reach us by phone at (800) 497-5114.

You may also email our partners directly with your email program if you prefer.
Email George Scala Directly      Email Kristen Mazuryk Directly

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Errors

Please correct the fields highlighted in red. These fields require a valid value prior to submitting the form.

Click on the question marks next to each field for an explanation of a valid input for each field.

* Name (First M Last)  ?
Name (First M Last)
A value is required for each name field.

For Example:
Sally M Jones
* Title  ?
Title
Please enter your job title

For Example:
Licensed Nursing Home Administrator
Company Name  ?
Company
Please enter the name of your Company

For Example:
Catskills Nursing Home
* Address  ?
Address
Please enter your street address

For Example:
100 Main Street
Address  ?
Address, Second Line
Please enter the second line of your address, if applicable
This is not a required field.
For Example:
Suite 200
* City, State Zip ,  ?
City, ST Zip Code
Please enter your city, state abbreviation, and zip code

State abbreviation should be two characters
Zip Code should be five numbers

For Example:
Albany, NY 12302
* Telephone - -  ?
Phone Number
Please enter your phone number with area code

For Example:
555 - 555 - 5555
Cell Phone - -  ?
Cell Number
Please enter cell number with area code
This is not a required field
For Example:
555 - 555 - 5555
Fax - -  ?
Fax Number
Please enter fax number with area code
This is not a required field
For Example:
555 - 555 - 5555
* Email Address  ?
Email Address
Please enter your email address

For Example:
jason@anydomain.com
* Preferred Method of Contact Phone Cell Phone Email  ?
Method of Contact
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* Message  ?
Message
Please enter your message to us

For Example:
Please contact me about your
Operational Consulting Services.