If you would like general information about Harmony Healthcare and the services we provide, please complete the online inquiry form below.
Please be aware if you are seeking specific information or have questions about your own treatment or the treatment of another individual, you will need to call Harmony Healthcare directly. (We cannot respond to confidential patient-specific inquiries via this Internet form). Please keep in mind confidentiality laws prohibit us from discussing with you any patient’s information without the patient’s prior express written authorization.
If you are in a state of crisis or need immediate help for any reason, please pause filling out this form and call 911.
If you feel that you are a danger to yourself, please pause filling out this form and contact the National Suicide Prevention Lifeline at 1-800-273-8255 or 911.
If you are unable to call Harmony Healthcare at (800) 363-4874, please use the form provided below to submit a confidential message to our admissions staff. We will respond as soon as possible.
Please note that by leaving your contact information in the space provided, you consent to allow Harmony Healthcare to use this information to contact you. Any information provided will remain confidential. Please note that by choosing to not leave your information, the staff at Harmony Healthcare will not contact you.
Disclaimer: Harmony Healthcare disclaims any liability, loss, or risk sustained directly or indirectly as a consequence of any actions you take with this form.
