-SouthCoast Health's treatment offices remain open for patient visits-

Due to the current public health emergency surrounding COVID-19, we want to keep you abreast of processes that SouthCoast Health is implementing to protect the health of our patients, employees and the community. LEARN MORE.

CDC and Georgia Department of Public Health Guidelines.

Patient Forms

Authorization for Release of Medical Information (PDF) Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility.
Authorization and Consent for Treatment (PDF) — All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento.
Preferred Contacts (PDF) — Patients are encouraged to complete and return the Preferred Contacts Form but it is not required. Contactos Preferidos

Patient Forms

Total WellnessStarts Right Here

Total Wellness
Starts Right Here