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We are here to help…

If you are currently experiencing a life-threatening emergency, please do not contact us this way.  You must call 911 or proceed to your nearest hospital immediately.

For non-emergency inquiries, please give us the following information so we may respond to your request more carefully.  To speak with an HBI representative, see HBI Clinical & Administrative Directory below.

* are REQUIRED information.

Name

First Name

Last Name

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Address

Street Address

City

State

Zip Code

Area Code

Phone Number

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Service

Requestor

Type of service you need

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Agreement I AUTHORIZE HBI (Human Behavior Institute) to contact me by phone or e-mail in response to my inquiry. I UNDERSTAND that HBI will handle my information with utmost respect and privacy as explained in the Terms & Privacy Policy for using the HBI web site. I TRUST that HBI will not share any of my information I provided above to any parties other than the intended person in charge of the department handling the type of service I need. I ACKNOWLEDGE that it may take HBI 24-48 hours to respond to my inquiry and if I need immediate help, I can contact HBI directly by phone at (702) 248-8866.

HBI Clinical & Administrative Directory