Health Promotions Contract

Please fill out all sections of the form.
  • Yes
    No
  • Cancellations must be made 3 days prior to the event.

    By signing this contract, you agree that the above information is correct.

  • I agree
  • Security Captcha: *
  • Main
  • 229.333.5886
  • 229.249.2791
  • Appointments
  • 229.219.3200
  • Billing & Collections
  • 229.219.3208
  • "After-Hours" On-Call Nurse
  • 229.259.2083
  • Campus Address
    200 Georgia Ave.
    Valdosta, GA 31698
  • Mailing Address
    1500 N. Patterson St.
    Valdosta, GA 31698
  • M - TR: 8:00AM - 5:00PM

    F : 8:00AM - 2:30PM