Evans-Memorial_Georgia-Heart-Program_10.5x39-v5.jpg
EMH Logo - New 2.jpg
Mask Policy

  • Home

  • Schedule Vaccine

  • Georgia Heart

  • About Us

    • About Us
    • Contact Us
    • Foundation
    • Leadership Team
    • Organizational Chart
    • Hospital Board / Authority
    • The Daisy and Bee Awards
    • Tippins Cafe
    • From Our CEO
    • Awards

  • Services

    • Emergency
    • Surgical Services
    • Laboratory
    • Radiology
    • Rehabilitation
    • Cardiopulmonary
    • Specialty Clinics

  • Careers

  • Patient Information

    • New Patients
    • Patient Rights & Responsibilities
    • Pay Your Bill
    • Patient Portal
    • Financial Services
    • Charity Care Application
    • Hospital Pricing
    • Hospital Transparency

  • Surgical Associates

    • Meet Our Providers
    • Patient Portal
    • Contact
    • Patient Forms

  • More

    Use tab to navigate through the menu items.
    • Facebook

    New Patient and Referral Forms

    New Patient Form
    Patient Referral Form

    Evans Memorial Hospital

    (912) 739-5000

    200 N River St
    Claxton, GA 30417

    ©2022 by Evans Memorial Hospital.