Thomaston, GA 30286
7 Days A Week
If you have any questions, please contact us. Thank you!
I request Hospice Services from Thomaston Hospice, Inc. I acknowledge and agree to the following:
This release is valid until discharge from Thomaston Hospice, Inc.
Patient's DOB *
Today's Date *
Patient Representative *
Phone Number *
We have elected to use electronic signatures as the default choice in lieu of paper. Be advised that according to the U.S. Federal E-SIGN Act in addition to various state laws an electronic signature is legally the same as a paper and ink signature.