Contact Us Phone: 205-248-7064 Email: hello@helpinghands-therapy.com Address: 2703 University Blvd E, Tuscaloosa, AL 35404 Contact Us This field is hidden when viewing the formNext Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.Your Name(Required) Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last How Can We Reach You?We would love to chat with you. How can we get in touch?Preferred Method of ContactEmailPhoneTextYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Best Time to Call You(Required)Select A Time12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmReason for ContactGeneral InquiryInterest in New HHT Contract ServicesExisting HHT Contract PartnerNew Patient ReferralService LocationOutpatient Clinic - GreensboroOutpatient Clinic - TuscaloosaOutpatient Clinic - Daycare SitesContract Services - SchoolsContract Services - OtherContract Services - Skilled NursingWhat's on your mind?Please let us know what's on your mind. Have a question for us? Ask away.Your Comments/QuestionsCommentsThis field is for validation purposes and should be left unchanged.
