If you are unable to complete the form online, you may download as a pdf,
complete and email a scanned copy to jgilliam@heartsinmotion.org or fax to (219) 922-1694.

Online Team Participant Information Form

Jul 07 2019

 Physical Therapy clinics, Occupational Therapy,  A1C testing & Iron Deficiency Anemia Testing (Washington State University)

Jul 12 2019

Firefighter training, Vision clinics, Helping Babies Breathe seminars, Construction projects, Vacation Bible school, and possible general medical clinics

Jul 19 2019

Physical Therapy Clinics (GVSU),Construction projects (St. Michael's Catholic Church), and Vet clinics

Aug 04 2019

 Physical Therapy Clinics (Temple Univ)

Aug 17 2019

Medical clinics and possible Audiology clinics (Salus Univ.)

Aug 24 2019

 Arcadia University Physical Therapy Rotation

Sep 07 2019

 Physical Therapy clinics (Drexel University)

Oct 11 2019

 Surgery, general medical clinics, and construction

Oct 18 2019

 Physical Therapy Clinics (ATI)

Nov 17 2019

 Physical Therapy Clinics (Midwestern Univ.)

Jan 03 2020

 Physical Therapy Clinics (Marquette University & University of Scranton)

Jan 10 2020

 OB/Gyn surgery, Cervical cancer screenings, General medical clinic, Vision clinics, Helping Babies Breathe seminars, Firefighter training, and Construction projects

Feb 22 2020

 Physical Therapy Clinics (DeSales Univ.)

Feb 29 2020

 Physical Therapy Clinics (Washington University St. Louis)

Mar 13 2020

 Cleft Lip/Palate surgery, Dental clinics, A1C and, Iron testing, and Construction project (Washington State University)

Apr 25 2020

 Physical Therapy Clinics (Jefferson Univ.)


Phone: 219-924-2446
Fax: 219-922-1694
2210 US 41
Schererville, Indiana 46375
Click here to email

Guatemala Office

Barrio La Barca
Gualan, Zacapa
Guatemala, Central America

Kentucky Office

2601 Evergreen Wynde
Louisville, KY. 40223
Phone 502-523-2695

Oklahoma Office

1203 East 30th Place
Tulsa, OK. 74114
Phone 281-684-9741

Wisconsin Office

S67 W32615 Ashton Way E
Mukwonago, WI. 53149
Phone 262-490-7009