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706 North Parrish Avenue, Adel, GA 31620
Tel: 229-896-8000
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Admission Information

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In order to streamline the admission process you may download the following form, complete it, then either bring it with you or fax it to 229-896-8000. This form is needed to verify and obtain insurance information prior to patient appointments for any service.

Click here to download the Patient Information Form.  

In order to download this form you must have Adobe Reader. 

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