Contact Us – Music Health Alliance

Contact Music Health Alliance

Phone: 615-200-6896
Email: info@musichealthalliance.com
Address: 2737 Larmon Drive, Nashville, TN 37204
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.
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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