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Menu
  • About Us
    • Message From Our CEO
    • Administration
    • News
    • Accreditations, Awards and Recognition
    • Map and Directions
    • Contact Us
    • Volunteer Services
    • Our Community
    • Community Health Needs
    • Hospital Authority
    • Privacy Policy
  • Our Services
    • Sterling Physician Group
    • Sterling Center Bariatrics
    • Maternal/Infant Unit
    • Cardiovascular Services
    • Diagnostic Imaging
    • Dialysis
    • Digestive Services
    • Educational Services
    • Emergency Department
    • Food & Nutrition Services
    • Psychiatric Services
    • Graduate Medical Education
    • Home Care Services
      • Home Health
      • Hospice & Palliative Care
      • Private Duty Services
    • Intensive Care
    • Laboratory Services
    • Oncology
    • Orthopedics
    • Outpatient Services
    • Non Emergency Transport
    • Pain Management Clinic
    • Pediatrics
    • Pharmacy
    • Respiratory Care
    • Skilled Nursing
    • Sleep Studies
    • Speech Therapy
    • Surgical Services
    • Vereen Rehabilitation Center
    • Women’s Health
    • Wound Care Clinic
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  • Patients & Visitors
    • Support Groups
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    • Testimonials
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    • Finance and Billing
    • No Surprises Billing Act
    • Health Vision and Mission Statement
    • Concern or Complaint Notification
    • Pet Therapy Program
    • Calendar of Events
    • Patient Safety Tips
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    • Notice of Privacy Practices
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    • GA Heart – Tax Credit Donation
    • Kate Jeter Serenity Garden
    • Love Light Giving
    • Golf Tournament
    • Recognitions
    • Make a Gift
      • Donate Now
    • Set Up A Recurring Donation
    • Scholarships
    • Art on the Wall
    • The Harrison Humanitarian Award
    • Gallery
  • Careers
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  • About Us
    • Message From Our CEO
    • Administration
    • News
    • Accreditations, Awards and Recognition
    • Map and Directions
    • Contact Us
    • Volunteer Services
    • Our Community
    • Community Health Needs
    • Hospital Authority
    • Privacy Policy
  • Our Services
    • Sterling Physician Group
    • Sterling Center Bariatrics
    • Maternal/Infant Unit
    • Cardiovascular Services
    • Diagnostic Imaging
    • Dialysis
    • Digestive Services
    • Educational Services
    • Emergency Department
    • Food & Nutrition Services
    • Psychiatric Services
    • Graduate Medical Education
    • Home Care Services
      • Home Health
      • Hospice & Palliative Care
      • Private Duty Services
    • Intensive Care
    • Laboratory Services
    • Oncology
    • Orthopedics
    • Outpatient Services
    • Non Emergency Transport
    • Pain Management Clinic
    • Pediatrics
    • Pharmacy
    • Respiratory Care
    • Skilled Nursing
    • Sleep Studies
    • Speech Therapy
    • Surgical Services
    • Vereen Rehabilitation Center
    • Women’s Health
    • Wound Care Clinic
  • Find a Provider
    • Physician Directory
    • Physician Offices
    • Practice Opportunities
  • Patients & Visitors
    • Support Groups
    • Gift Shop
    • Testimonials
    • Health Resources
    • Financial Assistance
    • Finance and Billing
    • No Surprises Billing Act
    • Health Vision and Mission Statement
    • Concern or Complaint Notification
    • Pet Therapy Program
    • Calendar of Events
    • Patient Safety Tips
    • Patient Bill Pay
    • Patients Bill of Rights
    • Patient Portal
    • Notice of Privacy Practices
    • Cobb Community Chapel
    • Annual Report
    • Email a Patient
    • Patient Rights & Responsibilities
    • News
  • Senior Services
  • Foundation
    • GA Heart – Tax Credit Donation
    • Kate Jeter Serenity Garden
    • Love Light Giving
    • Golf Tournament
    • Recognitions
    • Make a Gift
      • Donate Now
    • Set Up A Recurring Donation
    • Scholarships
    • Art on the Wall
    • The Harrison Humanitarian Award
    • Gallery
  • Careers
    • Job Openings
    • Physician Jobs
    • Nurse Extern Program
    • Nurse Residency Program
    • Training Programs
    • FAQs
Menu
  • About Us
    • Message From Our CEO
    • Administration
    • News
    • Accreditations, Awards and Recognition
    • Map and Directions
    • Contact Us
    • Volunteer Services
    • Our Community
    • Community Health Needs
    • Hospital Authority
    • Privacy Policy
  • Our Services
    • Sterling Physician Group
    • Sterling Center Bariatrics
    • Maternal/Infant Unit
    • Cardiovascular Services
    • Diagnostic Imaging
    • Dialysis
    • Digestive Services
    • Educational Services
    • Emergency Department
    • Food & Nutrition Services
    • Psychiatric Services
    • Graduate Medical Education
    • Home Care Services
      • Home Health
      • Hospice & Palliative Care
      • Private Duty Services
    • Intensive Care
    • Laboratory Services
    • Oncology
    • Orthopedics
    • Outpatient Services
    • Non Emergency Transport
    • Pain Management Clinic
    • Pediatrics
    • Pharmacy
    • Respiratory Care
    • Skilled Nursing
    • Sleep Studies
    • Speech Therapy
    • Surgical Services
    • Vereen Rehabilitation Center
    • Women’s Health
    • Wound Care Clinic
  • Find a Provider
    • Physician Directory
    • Physician Offices
    • Practice Opportunities
  • Patients & Visitors
    • Support Groups
    • Gift Shop
    • Testimonials
    • Health Resources
    • Financial Assistance
    • Finance and Billing
    • No Surprises Billing Act
    • Health Vision and Mission Statement
    • Concern or Complaint Notification
    • Pet Therapy Program
    • Calendar of Events
    • Patient Safety Tips
    • Patient Bill Pay
    • Patients Bill of Rights
    • Patient Portal
    • Notice of Privacy Practices
    • Cobb Community Chapel
    • Annual Report
    • Email a Patient
    • Patient Rights & Responsibilities
    • News
  • Senior Services
  • Foundation
    • GA Heart – Tax Credit Donation
    • Kate Jeter Serenity Garden
    • Love Light Giving
    • Golf Tournament
    • Recognitions
    • Make a Gift
      • Donate Now
    • Set Up A Recurring Donation
    • Scholarships
    • Art on the Wall
    • The Harrison Humanitarian Award
    • Gallery
  • Careers
    • Job Openings
    • Physician Jobs
    • Nurse Extern Program
    • Nurse Residency Program
    • Training Programs
    • FAQs

IRB Application Materials

Colquitt Regional Forms

Adverse Event or Unanticipated Problem Form
Continuation Form
Determination Form
Emergency Use Consent Form
Emergency Use Report
Enrollment Closure Form
Final Study Closure Application
Informed Consent Checklist
Initial Review Application
Modification Request Form
Protocol Closure or Suspension Form
Protocol Deviation Report Form
Request for Exemption
Request to ReOpen a Closed Study

Supplemental Forms

Coming Soon.

Policies and Procedures

Coming Soon.

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COVID Updates

Rudolph-Watson Named Medical Director of Colquitt Regional Behavioral Health Unit

January 26, 2023

Yearta Elected to GHA Board of Trustees

January 23, 2023

First National Bank of Moultrie Donates $50,000 to Colquitt Regional

January 3, 2023

Contact

  • 3131 South Main Street
    Moultrie, GA 31768
  • 229-985-3420

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