Mailing Address: One Health Record® P.O. Box 5624 Montgomery, Alabama 36103-5624 Telephone: 844-746-3540 Email: OneHealthRecord@medicaid.alabama.gov (or simply complete the contact form below) Your Name (required) Your Email (required) Subject Your Message <br /> &lt;div style=”width: 302px; height: 422px;”&gt;<br /> &lt;div style=”width: 302px; height: 422px; position: relative;”&gt;<br /> &lt;div style=”width: 302px; height: 422px; position: absolute;”&gt;<br /> &lt;iframe src=”https://www.google.com/recaptcha/api/fallback?k=6Le45AcUAAAAAO6endY_Do3r7vlgWE_yGpHO_p54″ frameborder=”0″ scrolling=”no” style=”width: 302px; height:422px; border-style: none;”&gt;<br /> &lt;/iframe&gt;<br /> &lt;/div&gt;<br /> &lt;div style=”width: 300px; height: 60px; border-style: none; bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px; background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;”&gt;<br /> &lt;textarea id=”g-recaptcha-response” name=”g-recaptcha-response” class=”g-recaptcha-response” style=”width: 250px; height: 40px; border: 1px solid #c1c1c1; margin: 10px 25px; padding: 0px; resize: none;”&gt;<br /> &lt;/textarea&gt;<br /> &lt;/div&gt;<br /> &lt;/div&gt;<br /> &lt;/div&gt;<br />