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  • HOME

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  • COMMUNITY IMPACT

    • God's Pantry
    • Blast Off Bartow
    • Annual 5K

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  • GET INVOLVED

    • Volunteer Application
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    • Insurance & Transfer of Payment Form
    • File Information Form
    • Authorization to Receive Info
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    • Permission to Service Form
    • Consent to Obtain External Prescription
    • Summary of Notice of Privacy Practices
    • “God's Pantry” Community Survey
    • ALL INTAKE FORMS
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    Insurance Info & Transfer of Payment Form

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    Call us:

    1-863-205-1624

    Address: 

    Post Office Box 1712
    Bartow, FL 338731