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Founded in 1939, Colquitt Regional Medical Center is a 99-bed community-based teaching hospital located in the heart of Southwest Georgia. At our core, we exist to provide high-quality and compassionate healthcare to all who enter our doors. We pride ourselves on providing exceptional care by exceptional people and strive to make the difference COLQUITT REGIONAL MEDICAL CENTER EMPLOYEE BENEFIT PLAN Colquitt Regional Medical Center Employee Benefit Plan Plan Document and Summary Plan Description 1 ARTICLE I ESTABLISHMENT OF THE PLAN: ADOPTION OF THE PLAN DOCUMENT AND SUMMARY PLAN HOSPITAL TRANSPARENCY REQUIREMENTS HB 321 Combined Financial Statements Report. Please click the button below to view the HB 321 Combined Financial Statements Report. View the HB 321 - Combined Financial Statements Report COLQUITT REGIONAL MEDICAL CENTER 1 I. Information Introduction We are pleased that you have chosen to be an employee of Colquitt Regional Medical Center. We hope you find your job to be both satisfying and rewarding. YOUR BENEFIT PLAN COLQUITT REGIONAL MEDICAL CENTER For Residents of North Dakota: If You are not satisfied with Your Certificate, You may return it to Us within 20 days after You receive it, unless a claim has previously been received by Us under Your Certificate. We will refund within 30 days of Our receipt of the

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HOME - COLQUITT

Founded in 1939, Colquitt Regional Medical Center is a 99-bed community-based teaching hospital located in the heart of Southwest Georgia. At our core, we exist to provide high-quality and compassionate healthcare to all who enter our doors. We pride ourselves on providing exceptional care by exceptional people and strive to make the difference COLQUITT REGIONAL MEDICAL CENTER EMPLOYEE BENEFIT PLAN Colquitt Regional Medical Center Employee Benefit Plan Plan Document and Summary Plan Description 1 ARTICLE I ESTABLISHMENT OF THE PLAN: ADOPTION OF THE PLAN DOCUMENT AND SUMMARY PLAN HOSPITAL TRANSPARENCY REQUIREMENTS HB 321 Combined Financial Statements Report. Please click the button below to view the HB 321 Combined Financial Statements Report. View the HB 321 - Combined Financial Statements Report COLQUITT REGIONAL MEDICAL CENTER 1 I. Information Introduction We are pleased that you have chosen to be an employee of Colquitt Regional Medical Center. We hope you find your job to be both satisfying and rewarding. YOUR BENEFIT PLAN COLQUITT REGIONAL MEDICAL CENTER For Residents of North Dakota: If You are not satisfied with Your Certificate, You may return it to Us within 20 days after You receive it, unless a claim has previously been received by Us under Your Certificate. We will refund within 30 days of Our receipt of the

returned

GENERAL SURGERY ASTROENTEROLOGY SURGERY GASTROENTEROLOGY PERSONAL HISTORY Patient Name Date of Birth Age Today’s Date Did a physician send you to our office?q YES q NO If yes, Who? Are you currenty having any pain? q YES q NO Where?

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THE “NEW NORMAL” FOR WORKPLACE DRUG TESTING SUPERVISOR Official Newsletter of Drug Free Workplaces February 2021 Vol. 17 No. 2 Published by The Council on Alcohol and Drugs Tel (404) 223-2486 | Fax (866) 786-9811 | www.LiveDrugFree.org

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Medical Record Number: Confirm Medical Record Number: Email Address: Confirm Email Address: Submit HOSPITAL TRANSPARENCY REQUIREMENTS HB 321 Combined Financial Statements Report. Please click the button below to view the HB 321 Combined Financial Statements Report. View the HB 321 - Combined Financial Statements Report THE DAISY AWARD NOMINATION Pay Your Bill Donate Now Upcoming Events 3131 South Main Street P.O Box 40 Moultrie, GA 31768 (229) 985-3420 info@colquittregional.com YOUR BENEFIT PLAN COLQUITT REGIONAL MEDICAL CENTER For Residents of North Dakota: If You are not satisfied with Your Certificate, You may return it to Us within 20 days after You receive it, unless a claim has previously been received by Us under Your Certificate. We will refund within 30 days of Our receipt of the

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Moultrie, GA 31768

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HOME - COLQUITT

Founded in 1939, Colquitt Regional Medical Center is a 99-bed community-based teaching hospital located in the heart of Southwest Georgia. At our core, we exist to provide high-quality and compassionate healthcare to all who enter our doors. We pride ourselves on providing exceptional care by exceptional people and strive to make the difference COLQUITT REGIONAL MEDICAL CENTER EMPLOYEE BENEFIT PLAN Colquitt Regional Medical Center Employee Benefit Plan Plan Document and Summary Plan Description 1 ARTICLE I ESTABLISHMENT OF THE PLAN: ADOPTION OF THE PLAN DOCUMENT AND SUMMARY PLAN COLQUITT REGIONAL MEDICAL CENTER Colquitt Regional Medical Center GENERAL SURGERY ASTROENTEROLOGY SURGERY GASTROENTEROLOGY PERSONAL HISTORY Patient Name Date of Birth Age Today’s Date Did a physician send you to our office?q YES q NO If yes, Who? Are you currenty having any pain? q YES q NO Where? COLQUITTREGIONAL.COM 5.3 In such event, the designation of a Beneficiary shall be made on a form satisfactory to the Administrator. A Participant may at any time

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THE “NEW NORMAL” FOR WORKPLACE DRUG TESTING SUPERVISOR Official Newsletter of Drug Free Workplaces February 2021 Vol. 17 No. 2 Published by The Council on Alcohol and Drugs Tel (404) 223-2486 | Fax (866) 786-9811 | www.LiveDrugFree.org FINANCIAL ASSISTANCE POLICY, 340 Current Status: Active PolicyStat ID: 5957203 Origination: 11/2003 Last Approved: 02/2019 Last Revised: 02/2019 Next Review: 02/2021 Owner: Megan Ford: Patient Access Policy Area: Patient Access References: Financial Assistance Policy, 340.06 Dept:Patient Access INDIGENT CARE PROGRAM 1 | P a g e Financial Counseling PO Box 40 Moultrie, GA 31776 (229) 891-9429 or (229) 891-9065 Indigent Care Program Applicant Information Last Name _____ First Name _____ Middle Name _____

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Founded in 1939, Colquitt Regional Medical Center is a 99-bed community-based teaching hospital located in the heart of Southwest Georgia. At our core, we exist to provide high-quality and compassionate healthcare to all who enter our doors. We pride ourselves on providing exceptional care by exceptional people and strive to make the difference COLQUITT REGIONAL MEDICAL CENTER EMPLOYEE BENEFIT PLAN Colquitt Regional Medical Center Employee Benefit Plan Plan Document and Summary Plan Description 1 ARTICLE I ESTABLISHMENT OF THE PLAN: ADOPTION OF THE PLAN DOCUMENT AND SUMMARY PLAN COLQUITT REGIONAL MEDICAL CENTER Colquitt Regional Medical Center GENERAL SURGERY ASTROENTEROLOGY SURGERY GASTROENTEROLOGY PERSONAL HISTORY Patient Name Date of Birth Age Today’s Date Did a physician send you to our office?q YES q NO If yes, Who? Are you currenty having any pain? q YES q NO Where? COLQUITTREGIONAL.COM 5.3 In such event, the designation of a Beneficiary shall be made on a form satisfactory to the Administrator. A Participant may at any time

revoke a

THE “NEW NORMAL” FOR WORKPLACE DRUG TESTING SUPERVISOR Official Newsletter of Drug Free Workplaces February 2021 Vol. 17 No. 2 Published by The Council on Alcohol and Drugs Tel (404) 223-2486 | Fax (866) 786-9811 | www.LiveDrugFree.org FINANCIAL ASSISTANCE POLICY, 340 Current Status: Active PolicyStat ID: 5957203 Origination: 11/2003 Last Approved: 02/2019 Last Revised: 02/2019 Next Review: 02/2021 Owner: Megan Ford: Patient Access Policy Area: Patient Access References: Financial Assistance Policy, 340.06 Dept:Patient Access INDIGENT CARE PROGRAM 1 | P a g e Financial Counseling PO Box 40 Moultrie, GA 31776 (229) 891-9429 or (229) 891-9065 Indigent Care Program Applicant Information Last Name _____ First Name _____ Middle Name _____

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are committed to

COLQUITT

Location. 3131 South Main Street. Moultrie, Georgia 31768. Map This Location ». Meet Dr. Thomas P. Loumeau. Dr. Thomas Loumeau is widely recognized for his expertise in all areas of the back and spine, including the general, cervical, lumbar and thoracic areas. Dr. Loumeau received his education both nationally at the University of

Notre Dame

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Medical Record Number: Confirm Medical Record Number: Email Address: Confirm Email Address: Submit RESIDENT SPOTLIGHT: GISELLE PINEIRO Dr. Giselle Pineiro never seriously considered a career path other than one in healthcare. She knew from the age of 12 that she would become a doctor and that became her goal. Before arriving in Moultrie, Pineiro attended Nova Southeastern where she completed her Bachelor’s degree, followed by earning a Master’s degree from

Barry University.

ROUGHLY 21% TO 29% OF MARCH 2021 VOL. 17 NO. 3 PATIENTS Official Newsletter of Drug Free Workplaces March 2021 Vol. 17 No. 3 Published by The Council on Alcohol and Drugs Tel (404) 223-2486 | Fax (866) 786-9811 | www.LiveDrugFree.org APPENDIX: OPTIMAL INSTRUMENT Confidence–Baseline Instructions: Please circle the level of confidence you have for doing each activity today. confident Fully confident in my ability to perform Very Moderate

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Created Date: 7/31/2019 11:30:07 AM DR. TAMARA JOHNSON INFECTIOUS DISEASE 6 HOSPITAL PARK Dr. Dexter Love Sterling Orthopedics, LLC 4 Live Oak Court Moultrie, GA 31768 229-785-2400 Primary Care Clinic 6 Hospital Park Moultrie, GA

31768 229-985-3320

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Founded in 1939, Colquitt Regional Medical Center is a 99-bed community-based teaching hospital located in the heart of Southwest Georgia. At our core, we exist to provide high-quality and compassionate healthcare to all who enter our doors. We pride ourselves on providing exceptional care by exceptional people and strive to make the difference COLQUITT REGIONAL MEDICAL CENTER EMPLOYEE BENEFIT PLAN Colquitt Regional Medical Center Employee Benefit Plan Plan Document and Summary Plan Description 1 ARTICLE I ESTABLISHMENT OF THE PLAN: ADOPTION OF THE PLAN DOCUMENT AND SUMMARY PLAN COLQUITT REGIONAL MEDICAL CENTER Colquitt Regional Medical Center GENERAL SURGERY ASTROENTEROLOGY SURGERY GASTROENTEROLOGY PERSONAL HISTORY Patient Name Date of Birth Age Today’s Date Did a physician send you to our office?q YES q NO If yes, Who? Are you currenty having any pain? q YES q NO Where? COLQUITTREGIONAL.COM 5.3 In such event, the designation of a Beneficiary shall be made on a form satisfactory to the Administrator. A Participant may at any time

revoke a

THE “NEW NORMAL” FOR WORKPLACE DRUG TESTING SUPERVISOR Official Newsletter of Drug Free Workplaces February 2021 Vol. 17 No. 2 Published by The Council on Alcohol and Drugs Tel (404) 223-2486 | Fax (866) 786-9811 | www.LiveDrugFree.org INDIGENT CARE PROGRAM 1 | P a g e Financial Counseling PO Box 40 Moultrie, GA 31776 (229) 891-9429 or (229) 891-9065 Indigent Care Program Applicant Information Last Name _____ First Name _____ Middle Name _____ FINANCIAL ASSISTANCE POLICY, 340 Current Status: Active PolicyStat ID: 5957203 Origination: 11/2003 Last Approved: 02/2019 Last Revised: 02/2019 Next Review: 02/2021 Owner: Megan Ford: Patient Access Policy Area: Patient Access References: Financial Assistance Policy, 340.06 Dept:Patient Access

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HOME - COLQUITT

Founded in 1939, Colquitt Regional Medical Center is a 99-bed community-based teaching hospital located in the heart of Southwest Georgia. At our core, we exist to provide high-quality and compassionate healthcare to all who enter our doors. We pride ourselves on providing exceptional care by exceptional people and strive to make the difference COLQUITT REGIONAL MEDICAL CENTER EMPLOYEE BENEFIT PLAN Colquitt Regional Medical Center Employee Benefit Plan Plan Document and Summary Plan Description 1 ARTICLE I ESTABLISHMENT OF THE PLAN: ADOPTION OF THE PLAN DOCUMENT AND SUMMARY PLAN COLQUITT REGIONAL MEDICAL CENTER Colquitt Regional Medical Center GENERAL SURGERY ASTROENTEROLOGY SURGERY GASTROENTEROLOGY PERSONAL HISTORY Patient Name Date of Birth Age Today’s Date Did a physician send you to our office?q YES q NO If yes, Who? Are you currenty having any pain? q YES q NO Where? COLQUITTREGIONAL.COM 5.3 In such event, the designation of a Beneficiary shall be made on a form satisfactory to the Administrator. A Participant may at any time

revoke a

THE “NEW NORMAL” FOR WORKPLACE DRUG TESTING SUPERVISOR Official Newsletter of Drug Free Workplaces February 2021 Vol. 17 No. 2 Published by The Council on Alcohol and Drugs Tel (404) 223-2486 | Fax (866) 786-9811 | www.LiveDrugFree.org INDIGENT CARE PROGRAM 1 | P a g e Financial Counseling PO Box 40 Moultrie, GA 31776 (229) 891-9429 or (229) 891-9065 Indigent Care Program Applicant Information Last Name _____ First Name _____ Middle Name _____ FINANCIAL ASSISTANCE POLICY, 340 Current Status: Active PolicyStat ID: 5957203 Origination: 11/2003 Last Approved: 02/2019 Last Revised: 02/2019 Next Review: 02/2021 Owner: Megan Ford: Patient Access Policy Area: Patient Access References: Financial Assistance Policy, 340.06 Dept:Patient Access

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COLQUITT

Location. 3131 South Main Street. Moultrie, Georgia 31768. Map This Location ». Meet Dr. Thomas P. Loumeau. Dr. Thomas Loumeau is widely recognized for his expertise in all areas of the back and spine, including the general, cervical, lumbar and thoracic areas. Dr. Loumeau received his education both nationally at the University of

Notre Dame

COLQUITT REGIONAL MEDICAL CENTER Vision Colquitt Regional Medical Center will be recognized as a superior provider of quality and compassionate healthcare. Mission We

are committed to

RESIDENT SPOTLIGHT: GISELLE PINEIRO Dr. Giselle Pineiro never seriously considered a career path other than one in healthcare. She knew from the age of 12 that she would become a doctor and that became her goal. Before arriving in Moultrie, Pineiro attended Nova Southeastern where she completed her Bachelor’s degree, followed by earning a Master’s degree from

Barry University.

ROUGHLY 21% TO 29% OF MARCH 2021 VOL. 17 NO. 3 PATIENTS Official Newsletter of Drug Free Workplaces March 2021 Vol. 17 No. 3 Published by The Council on Alcohol and Drugs Tel (404) 223-2486 | Fax (866) 786-9811 | www.LiveDrugFree.org

COLQUITT REGIONAL

Created Date: 7/31/2019 11:30:07 AM

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Medical Record Number: Confirm Medical Record Number: Email Address: Confirm Email Address: Submit DR. TAMARA JOHNSON INFECTIOUS DISEASE 6 HOSPITAL PARK Dr. Dexter Love Sterling Orthopedics, LLC 4 Live Oak Court Moultrie, GA 31768 229-785-2400 Primary Care Clinic 6 Hospital Park Moultrie, GA

31768 229-985-3320

DISCLAIMER - COLQUITT All information provided in Colquitt Regional Medical Center Web sites is provided for information purposes only and does not constitute a legal contract between Colquitt Regional Medical Center and any person or entity unless otherwise specified. Information on Colquitt Regional Medical Center Web sites is subject to change without prior notice. Although every reasonable effort COLQUITTREGIONAL.COM colquittregional.com

HOME - COLQUITT

Founded in 1939, Colquitt Regional Medical Center is a 99-bed community-based teaching hospital located in the heart of Southwest Georgia. At our core, we exist to provide high-quality and compassionate healthcare to all who enter our doors. We pride ourselves on providing exceptional care by exceptional people and strive to make the difference COLQUITT REGIONAL MEDICAL CENTER EMPLOYEE BENEFIT PLAN Colquitt Regional Medical Center Employee Benefit Plan Plan Document and Summary Plan Description 1 ARTICLE I ESTABLISHMENT OF THE PLAN: ADOPTION OF THE PLAN DOCUMENT AND SUMMARY PLAN

PET THERAPY PROGRAM

Pet Therapy Program. Colquitt Regional is excited to welcome three new dogs to provide comfort for patients, visitors, and even during their stay at the hospital. These are recently certified therapy dogs who have been trained as another part of the hospital’s therapeutic team. The dogs are part of three different dog/handler teams. HOSPITAL TRANSPARENCY REQUIREMENTS HB 321 Combined Financial Statements Report. Please click the button below to view the HB 321 Combined Financial Statements Report. View the HB 321 - Combined Financial Statements Report COLQUITT REGIONAL MEDICAL CENTER 1 I. Information Introduction We are pleased that you have chosen to be an employee of Colquitt Regional Medical Center. We hope you find your job to be both satisfying and rewarding. GENERAL SURGERY ASTROENTEROLOGY SURGERY GASTROENTEROLOGY PERSONAL HISTORY Patient Name Date of Birth Age Today’s Date Did a physician send you to our office?q YES q NO If yes, Who? Are you currenty having any pain? q YES q NO Where?

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Medical Record Number: Confirm Medical Record Number: Email Address: Confirm Email Address: Submit THE “NEW NORMAL” FOR WORKPLACE DRUG TESTING SUPERVISOR Official Newsletter of Drug Free Workplaces February 2021 Vol. 17 No. 2 Published by The Council on Alcohol and Drugs Tel (404) 223-2486 | Fax (866) 786-9811 | www.LiveDrugFree.org

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HOME - COLQUITT

Founded in 1939, Colquitt Regional Medical Center is a 99-bed community-based teaching hospital located in the heart of Southwest Georgia. At our core, we exist to provide high-quality and compassionate healthcare to all who enter our doors. We pride ourselves on providing exceptional care by exceptional people and strive to make the difference COLQUITT REGIONAL MEDICAL CENTER EMPLOYEE BENEFIT PLAN Colquitt Regional Medical Center Employee Benefit Plan Plan Document and Summary Plan Description 1 ARTICLE I ESTABLISHMENT OF THE PLAN: ADOPTION OF THE PLAN DOCUMENT AND SUMMARY PLAN

PET THERAPY PROGRAM

Pet Therapy Program. Colquitt Regional is excited to welcome three new dogs to provide comfort for patients, visitors, and even during their stay at the hospital. These are recently certified therapy dogs who have been trained as another part of the hospital’s therapeutic team. The dogs are part of three different dog/handler teams. HOSPITAL TRANSPARENCY REQUIREMENTS HB 321 Combined Financial Statements Report. Please click the button below to view the HB 321 Combined Financial Statements Report. View the HB 321 - Combined Financial Statements Report COLQUITT REGIONAL MEDICAL CENTER 1 I. Information Introduction We are pleased that you have chosen to be an employee of Colquitt Regional Medical Center. We hope you find your job to be both satisfying and rewarding. GENERAL SURGERY ASTROENTEROLOGY SURGERY GASTROENTEROLOGY PERSONAL HISTORY Patient Name Date of Birth Age Today’s Date Did a physician send you to our office?q YES q NO If yes, Who? Are you currenty having any pain? q YES q NO Where?

ENROLLMENT REQUEST

Medical Record Number: Confirm Medical Record Number: Email Address: Confirm Email Address: Submit THE “NEW NORMAL” FOR WORKPLACE DRUG TESTING SUPERVISOR Official Newsletter of Drug Free Workplaces February 2021 Vol. 17 No. 2 Published by The Council on Alcohol and Drugs Tel (404) 223-2486 | Fax (866) 786-9811 | www.LiveDrugFree.org

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Medical Record Number: Confirm Medical Record Number: Email Address: Confirm Email Address: Submit COLQUITTREGIONAL.COM Created Date: 7/31/2019 11:30:07 AM LOGIN | COLQUITT REGIONAL MEDICAL CENTER Pay Your Bill Donate Now Upcoming Events Website Login Email THE PHIL AWARD NOMINATION Pay Your Bill Donate Now Upcoming Events 3131 South Main Street P.O Box 40 Moultrie, GA 31768 (229) 985-3420 info@colquittregional.com HOSPITAL TRANSPARENCY REQUIREMENTS HB 321 Combined Financial Statements Report. Please click the button below to view the HB 321 Combined Financial Statements Report. View the HB 321 - Combined Financial Statements Report

PET THERAPY PROGRAM

Pet Therapy Program. Colquitt Regional is excited to welcome three new dogs to provide comfort for patients, visitors, and even during their stay at the hospital. These are recently certified therapy dogs who have been trained as another part of the hospital’s therapeutic team. The dogs are part of three different dog/handler teams. YOUR BENEFIT PLAN COLQUITT REGIONAL MEDICAL CENTER For Residents of North Dakota: If You are not satisfied with Your Certificate, You may return it to Us within 20 days after You receive it, unless a claim has previously been received by Us under Your Certificate. We will refund within 30 days of Our receipt of the

returned

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Medical Record Number: Confirm Medical Record Number: Email Address: Confirm Email Address: Submit FINANCIAL ASSISTANCE POLICY, 340 Current Status: Active PolicyStat ID: 5957203 Origination: 11/2003 Last Approved: 02/2019 Last Revised: 02/2019 Next Review: 02/2021 Owner: Megan Ford: Patient Access Policy Area: Patient Access References: Financial Assistance Policy, 340.06 Dept:Patient Access COLQUITTREGIONAL.COM 5.3 In such event, the designation of a Beneficiary shall be made on a form satisfactory to the Administrator. A Participant may at any time

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* Pediatrics

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COVID Hotline: 229-891-9380

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Don't forget to schedule your annual mammogram!

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Coronavirus Update

COVID Hotline: 229-891-9380

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Mammogram

Don't forget to schedule your annual mammogram!

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LATEST NEWS

COLQUITT REGIONAL MOVES VACCINATIONS TO CLINICS MOULTRIE, Ga. – Colquitt Regional recently announced that it will now be offering COVID-19 vaccines within

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May 21, 2021

COLQUITT REGIONAL TO ACCEPT UNLIMITED TAX CONTRIBUTIONS MOULTRIE, Ga. – Colquitt Regional will begin accepting 2021 pre-applications for unlimited contribution amounts through Georgia

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May 19, 2021

MEDICAL COLUMN: DO YOU WET YOUR PANTS? By: Dr. Stephen Yarbrough Many women would answer that question as yes! Urinary incontinence is

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May 18, 2021

UPCOMING EVENTS

June 2021__

14 Jun

BARIATRIC SUPPORT GROUP MEETING – 6.14.21

Monday

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15 Jun

ALZHEIMER’S SUPPORT GROUP – 6.15.21

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18 Jun

EDUCATION CLASS

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