Hear to Heal Provider Partnership Application

Thank you for your interest in partnering with Hear to Heal.

Please email the following information to:

partnerships@j3russellbooks.com

Organization Information

• Organization Name:
• Contact Person:
• Job Title:
• Email Address:
• Phone Number:
• Website:

Organization Type

• Healthcare Provider
• Mental Health Practice
• School
• Nonprofit
• Enterprise Employer
• Other

Estimated Number of Users ______________

Why are you interested in partnering with Hear to Heal?

Additional Comments

Thank you. A member of our partnership team will contact you within 2–3 business days.

Questions?
Email: partnerships@j3russellbooks.com

Or

Schedule a Partnership Consultation
https://j3russellbooks.com/hear-to-heal-app/