If you are a resident of East TN, you can apply for help right here on our site.


To get started on your search for help, we will first need you to download all of the forms found below. Once you have completed them, you will need to return them, along with a copy of a valid government issued ID.  The contact information for returning these forms can also be found below.

Helping Hands of Hope


Downloadable Forms

 


Application for Assistance

Authorization for The Use of Image

Medical History Form 

Patient Information Form

HIPAA Authorization Form 


Contact us:   Click to E-mail

Deliver in person or via mail to: 313 North Forest Park Boulevard, Knoxville, TN 37919

Fax forms to: 865-253-7990


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