Anointed Hands Medical

If you would like to grant permission to another individual(s) to discuss your healthcare and make requests on your behalf, please fill out this form and fax it to the office at 706-684-0753. This form must be updated every 90 days and must be on file before we release your information to another individual. This includes parents (excluding minors), siblings, spouses, friends, and caretakers. 

This page contains all of our downloadable forms and documents. 

Text-only form of our privacy policy

Booklet form of our privacy policy

Services

Phone: 706-684-0588

Download and complete the new patient form. It can be faxed to our office at 706-684-0753 or brought in person.

Also, complete the Medical Information Release form and the Drug Screen Acknowledgement form.

Before we can release your medical records to another facility, we must have a signed Authorization on file. Please fax to 706-684-0753 with a copy of your driver's license or identification card. You may also bring it by in person.