Click to make a payment to your account.
620 Skyline Drive Jackson, TN 38301
9550 Hwy 412 West Lexington, TN 38351
720 W Forest Ave. Jackson, TN 38301
West Tennessee Healthcare Cardiology Outreach Clinic has locations in Brownsville, Camden, Dyersburg, Lexington, Martin and Paris.
27 Medical Center Dr. Jackson, TN 38301
101 Jackson Walk Plaza Jackson, TN 38301
4039 Highland Street Milan, TN 38358
3525 Chere Carol Road Humboldt, TN 38343
2017 South College Street Trenton, TN 38382
175 Hospital Drive Camden, TN 38320
650 Nuckolls Road Bolivar, Tennessee 38008
Jackson-Madison County General Hospital is committed to protecting your privacy and personal medical information. All of our online forms use 256-bit SSL encryption to protect your online submissions. While we take all precautions to secure our forms, there are other factors that could compromise the transmission of the data you submit. If you choose to electronically submit your data using the Pre-Admission Registration form, you agree to do so at your own risk and you assume all responsibility for any liability as a result of this online submission and from any omissions or errors in the information you provide. You agree to release and hold harmless Jackson-Madison County General Hospital and its affiliates including but not limited to directors, officers, associates, shareholders, agents and representatives from any and all liability or cause of action arising from the interception, access, or use by a third party of any data submitted across the internet via this website and from any omissions or errors in the information you provide. Furthermore, the provision of any information by you to Jackson-Madison County General Hospital via this website does not establish or make official any relationship between you and Jackson-Madison County General Hospital, its affiliates, or any of the physicians on its staff, to which any privilege may be connected.
I agree to the information above, continue to the form.