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Family Health Care Center - Total Care for All Ages...Newborns to Seniors
Total Care for All Ages...Newborns to Seniors
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912-489-4090
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  • Services
    • Pediatrics
    • Occupational Health
    • Diabetes Education
    • Men and Women’s Health
    • Cardiovascular Care
    • Dermatology
  • About Us
    • Our Health Care Team
  • Patient Info
    • Patient Portal
    • Patient Forms
    • Our Policies
    • Satisfaction Survey
  • Web Resources
    • Medical References
  • Contact
Family Health Care Center - Total Care for All Ages...Newborns to Seniors
Total Care for All Ages...Newborns to Seniors
912-489-4090
  • Services
    • Pediatrics
    • Occupational Health
    • Diabetes Education
    • Men and Women’s Health
    • Cardiovascular Care
    • Dermatology
  • About Us
    • Our Health Care Team
  • Patient Info
    • Patient Portal
    • Patient Forms
    • Our Policies
    • Satisfaction Survey
  • Web Resources
    • Medical References
  • Contact

Patient Forms

Forms

Printable

Adult New Patient(opens in new tab)
Child New Patient(opens in new tab)
Minor Patient Consent Form(opens in new tab)
Medical Records Release Form(opens in new tab)
HIPAA Form(opens in new tab)
Notice of Privacy Practices(opens in new tab)
Patient Payment Plan Form(opens in new tab)
Patient Portal Sign Up Form(opens in new tab)

Online Submission

Online Adult Form(opens in new tab)
Online Child Form(opens in new tab)

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Family Health Care Center - Total Care for All Ages...Newborns to Seniors
Total Care for All Ages...Newborns to Seniors

Phone: 912-489-4090
Fax: 912-764-5028
Email:
info@familyhealthcarecenter.com

Phone: 912-489-4090
Fax: 912-764-5028
Email: info@familyhealthcarecenter.com


Family Health Care Center
23702 Highway 80 East
Statesboro, GA 30461

Family Health Care Center - Total Care for All Ages...Newborns to Seniors
Total Care for All Ages...Newborns to Seniors
(opens in new tab) (opens in new tab)

Hours of Operation

Monday - Friday
8:30am - 5:30pm

(Early morning walk-in hours have been suspended due to covid.)

PAY YOUR BILL
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