8383 Wilshire Blvd., Suite 935
Beverly Hills, CA 90211
(310) 388-8500
www.hardinglawapc.com
Thank you for contacting Harding Law, APC to assist you with this matter. Please fill out the form below and we will be reaching out to you shortly regarding your claim.
Contact information
Prefix
First name
*
Middle name
Last name
*
Emails
Address
*
Type
Upon submission, a copy of this form will be sent to the primary email.
Work
Home
Other
Primary
Default email false
Add email
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Add phone number
When did you first visit BetterHelp's website?
How do you use BetterHelp?
I visited the BetterHelp website
I downloaded the BetterHelp mobile application
I filled out a healthcare questionnaire on the BetterHelp app or website
I scheduled a telehealth appointment using the BetterHelp app or website
How often do you visit the BetterHelp Website?
Select an option
Once a month or less
Twice a month
Three times a month
Four times a month or more
What is your BetterHelp account username (if you have one)?
Are you a California resident over the age of 18?
Select an option
Yes
No