To submit a testimonial, please complete the steps below. If you have any problems or questions please contact our office at (256)237-2273. Thank you for taking the time to submit a testimonial!


Step1:Fill in your first and last name and then pick how you want us to display your name. You have three option on how your name is displayed.

First Name: Last Name:

Choose how you want your name shown.

My full name will appear next to my testimonial.
Only my first name will appear next to my testimonial.
My name will not appear next to my testimonial.

Step2: Fill in your e-mail address. Your e-mail address will not be shown and will be keep private. We need your e-mail address only as a way to contact you about your testimonial.

E-Mail:

Step3: Add a photo of yourself to your testimonial or you can use a standard photo instead. If you do not want to add a photo please select standard photo. The photo you add will be shown next to your testimonial.

Add a Photo:

OR

Use a standard photo instead of uploading one.
 

Step 4: Write your testimonial. You might want to include specifics such as names, positive incidents, and how you feel today about the care you have received. The last thing you need do before you submit is read and agree to the authorization and release information.

Testimonial:


I have read the authorization and release information and give my consent for the use as indicated.