Contact OT EAC If you wish to contact us directly, please e-mail us at firstname.lastname@example.org or call us at (352) 888-4636.If you are experiencing a medical emergency or life-threatening circumstances, please call 911.If you wish to speak to a mental health clinician immediately, please call (352) 265-5481.For up to date information on our clinic and see when we will be operating, please follow us on our Facebook page. How can we help?*I would like to schedule an appointment to see an occupational therapist.I am an occupational therapist and would like to volunteer my services to the clinic.I'm with an organization that would like to partner or has a question.I have a general question about the Equal Access Clinic.Your Name* First Last Email* Enter Email Confirm Email PhoneOptionalSelect times you are available to volunteer.* Fall 2019 Spring 2020 We'll reach out to you with available dates.Areas of PracticeOptional. Maximum of 200 characters.CommentsOptional. Maximum of 500 characters.Have you seen us before?*New ClientReturning ClientAre you over 18?* I confirm that I am over 18 years of age. Submission of this form requires you to be 18 or older.Comments or ConcernsOptional. Maximum of 500 characters.What would you like to know about us?*Maximum of 500 characters.Organization Name*We would like materials to distribute. Flyers (one page) Handouts (additional info about OT) OptionalQuestion or CommentsOptional. Maximum of 500 characters.CommentsThis field is for validation purposes and should be left unchanged.