If you are unable to complete the form online, you may download as a pdf, complete and email a scanned copy to julie@heartsinmotion.org or fax to (219) 922-1694.
Cleft Lip/Palate Surgery, Dental Clinics, A1C & Iron Testing, Construction Project (Washington State University)
Vision Clinics, Helping Babies Breathe Clinics, Construction Project, possibly General Medical Clinic
Occupational Therapy Clinics (Grand Valley State University)
Orthopedic Surgery, Physical Therapy Clinics, General Medical Clinics, Construction Project, Vision Clinics, Helping Babies Breathe
Phone: 219-924-2446 Fax: 219-922-1694 2210 US 41 Schererville, Indiana 46375 Click here to email
Barrio La Barca Gualan, Zacapa Guatemala, Central America
2601 Evergreen Wynde Louisville, KY. 40223 Phone 502-523-2695 himlouisville@hotmail.com
1203 East 30th Place Tulsa, OK. 74114 Phone 281-684-9741 marciamcginnis@comcast.net
S67 W32615 Ashton Way E Mukwonago, WI. 53149 Phone 262-490-7009 heartsinmotionwis@yahoo.com
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