Name
(Required)
First
Last
Email
Phone
(Required)
Are you a:
Patient
Provider
Caregiver
Please select all preferred days and times for a call back:
Mondays 8am - 12pm
Mondays 1pm – 5pm
Wednesdays 8 am – 12 pm
Wednesdays 1 pm – 5 pm
Fridays 8 am – 12 pm
Fridays 1 pm – 5 pm
What is your primary concern?
Congestive Heart Failure
Diabetes
Hypertension
Weight Management
Nutrition
General Wellness
What do you need the HealthLoop teams to help with?
More information (on use cases, on best practices/whitepapers, on apps, on devices, etc.)
Technical support on existing device/app
Remote Patient Monitoring
Connecting to your UAB eMedicine Video Visit
Comparing devices/apps