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Jefferson County Project Access
Phone:
(205) 838-3421
Fax:
(205) 838-6294
Patient Applications
English
CLICK HERE FOR PATIENT APPLICATION
CLICK HERE FOR PATIENT CHECK LIST
Portuguese
HAGA CLIC AQUÍ PARA LA APLICACIÓN DEL PACIENTE
HAGA CLIC AQUÍ PARA VER LA LISTA DE PACIENTES
Spanish
HAGA CLIC AQUÍ PARA LA APLICACIÓN DEL PACIENTE
HAGA CLIC AQUÍ PARA VER LA LISTA DE PACIENTES
Hindi
Updated JCPA Hindi Application 2019
Updated Hindi Checklist
