Hospital & Healthcare Provider Sign-Up Form

Hospital & Healthcare Provider Sign-Up
At Melodic Caring, we believe in the power of connection and working together, alongside healthcare providers, to provide mental, emotional and spiritual support through music + art to care for the whole patient - mind, body and soul. Signing up is fast, easy and HIPAA Compliant.

From 1:1 Music Therapy Sessions, Weekly Group Music & Art Therapy Sessions, rockSTAR Song Requests, and Livestream Performances with special shoutouts from stage, we are here to provide whole-family care and ongoing support for your patients of all ages. Sign up below to learn more, receive information on upcoming livestream performances and start offering our unique support programs to your patients!

We look forward to working with you to support your hospital and your patients.
Name

First NameLast Name
Title*
All SMS and email communications will be conducted in compliance with HIPAA, GDPR, and TCPA laws. HIPAA + GDPR COMPLIANT // Melodic Caring Project (MCP) is committed to and has implemented staff education and technical safeguards to prevent unauthorized use or disclosure of information as well ensure its devices, services, websites and data systems (collectively “Products”) are compliant with the regulations and conditions set forth in the Health Insurance Portability and Availability Act of 1996 (HIPAA) and (GDPR).