(912) 437-2663 // Darien, GA 31305
208 Fort King George Drive, Darien, GA 31305
Phone: (912) 437-2663
Closed for lunch: Tue/Wed/Thu: 12 pm - 1:30 pm
**closed 1st Monday each month and all Federal holidays**
Review the instructions. Print the form. Bring the completed form to your physical. If you can't print, we have forms on site.
The link connects to the form that can be filled out online and printed. It will not save, only print.
Only fill out and print pages 1 and 2.
If you don't have Adobe Reader on your computer, please click on the link below to install. You do NOT have to select the optional offers.
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