To enroll in the Telehealth program with Hearts And Hands Therapy, please fill out the Telehealth Member Consent Form.

You can also Download the form to fill it out later.

After you have filled it out, please print the form, sign it and return it to us via

Email : Info@HeartsAndHandsTherapy.com

OR

FAX: 844-471-3799.

For detailed Instructions watch the video