Medicare Opt-Out Form


 

If you currently have Medicare and would like to join Dr. Gaudry's practice, you must have this form on record with our office.  

Click on the below icon to download your Medicare Opt-Out Form.  

You must bring to your first appointment and sign this form every 2 years.

 

 

Medicare Opt-Out Form

Location
The Georgia Center for Menopausal Medicine
15 Lake Street, Suite 160
Savannah, GA 31411
Phone: 912-335-7825
Fax: 912-335-7897
Office Hours

Get in touch

912-335-7825