2025 Community Request Form

2025 Community Request Form - Older Adults

We appreciate your interest in SMFR's community risk reduction programs! Please note all requests for a community presentation or visit must meet the following requirements:

Must be received no less than three weeks prior to the requested date
Minimum of 10 attendees
Participants must live or work in the district
We cannot participate in for-profit events

Location

Please select the audience that best fits who you are filling out the request for. For example, if you work in a continuing care community but would like to request a presentation for the independent living side, please select independent living.

Assisted Living or Skilled Nursing Community

Independent Living or 55+ Community

Older adult audience at other location

Requested Event Date

If you do not have a specific date in mind, please include additional details in the event details section.

Event Details*

Request*

Steps to Safety is centered around 16 key safety messages—eight fire prevention and eight fall prevention. This is a one-hour class.

Safety Skills for Older Adults is taught in partnership with the South Metro Safety Foundation. This is a two-hour class that is taught by a Risk Reduction Specialist and Physical Therapist. This class covers hands-only CPR, how to spot a stroke, fall prevention, tips for getting up from a fall, and how to identify home hazards.

Community or Group Name*

Contact Name*

Phone Number*

Email Address*

Estimated number of attendees*

Please enter your best estimate for attendance.

Comments or questions

Send me a copy of my responses

Privacy Notice|Report Abuse