To complete the application, fill the forms below and send us by e-mail or fax.

E-mail: fellowshipdr@wildwoodhealth.org
Fax: (706) 820-1474  

The new application form is a fillable form.  It is intended to replace the old version but we will keep both available online until we are sure this new version works properly.  

If you choose to use this new form, we would appreciate it, if you leave a brief feedback about the form.  You may email your feedback to: fellowshipdr@wildwoodhealth.org

The form is divided into 5 sections as follows:
A. Application        
B. Acquaintance reference  (2 copies to be done)
C. Employer’s reference    (2 copies to be done)
D. Medical History    (to be completed by you)
E. Physical Exam Report  (to be completed by your doctor)

All sections may be done & submitted online by selecting the submit button at the end of the relevant page(s).

Application (PDF) 

Application (DOC) 

Be Modest  

Sabbath Ministry  

Medical Info  

Required Supporting Documentation