Require "Request for Phlebotomy" form to be completed by attending physician. Form requires patient name, address, social security number, diagnosis, minimum hemoglobin, frequency of phlebotomies and attending physician's name, address and phone number.

$0

N/A

Insurance:

N/A

Call to receive the "Request for Phlebotomy" form and to make an appointment.

1442 Battlefield Parkway, Suite B Ft. Oglethorpe, GA 30742
100 West Walnut Avenue Dalton, GA 30720
178 Shorter Avenue Northwest Rome, GA 30165

Hours:

Varies by location.

Ph: 1-800-962-0628

www.bloodassurance.org