Planning Council for Health and Human Services, Inc.

Milwaukee County Long-Term Care Planning Project for persons with disabilities under the age of 60

Home|

Overview|

Planning Process|

Updates|

Consumer/Stakeholder Advisory Council|

|

Your Space|

Family Care Success Stories|

Contact Us|

Mailing List Form

If you would like to be added to our mailing list or if your contact information has changed, complete and submit the Mailing List Form below or print and complete the form and mail it to Marietta Luster at Milwaukee County Department of Health and Human Services, Disabilities Services Division, 1220 W. Vliet Street, Room 300P, Milwaukee WI 53205.

I would like to   Join the mailing list
Leave the mailing list
 
Prefix   Mr.  Mrs.  Ms.  Miss
First Name  
Middle Name / Initial  
Last Name  
Suffix  
Position / Title  
Organization  

 
Preferred Contact:
 
Preferred Contact Method     US Mail  Email
Organization  
Street Address  
City  
State  
Zip Code  
Phone   Extension
Email  
Disability-Related Affiliation(s)  

You may share my contact information
with members of the Advisory Council

 Yes  No

If any of the above information changes,
please contact Marietta Luster at (414) 289-6758 or marietta.luster@milwcnty.com.