Contact Us – Music Health Alliance

Contact Music Health Alliance

Phone: 615-200-6896
Email: info@musichealthalliance.com
Address: 29 Music Square East, Nashville, TN 37203
Fax: 1-800-934-1977

Need Help?

Date*
MM slash DD slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth*
Gender Identity
Family Size (How many people are on your tax return)*
Immigration Status (Status can affect eligibility for health insurance)*
Email*
I would like to receive email updates from Music Health Alliance.
- Yes
- No
Phone*
How Can We Help?*
The MHA Team will be back in touch within 48 hours, hopefully sooner. Please be patient during this season of health crisis.
How Did You Hear About Us?
Quick note about how we can help.*
What is your music industry affiliation?*
Years in the Music Industry*
Genre
Are you a current Music Health Alliance client?
- Yes
- No
If you answered YES above, who is your advocate? Please select the advocate that you have worked with previously at Music Health Alliance.
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