Contact OT EAC If you wish to contact us directly, please e-mail us a email@example.com 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 dial (352) 265-5481. How can we help?*I am a therapist and would like to volunteer my services to the clinic.I would like to schedule an appointment to see an occupational therapist.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 2018 Spring 2019 We'll reach out to you once dates are established.Special InterestsOptional. Maximum of 200 characters.CommentsOptional. Maximum of 500 characters.Have you seen us before?*New PatientReturning PatientAre 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.PhoneThis field is for validation purposes and should be left unchanged.