Hernia Screenings at Pooler

Sign up for a free hernia screening at the SJ/C Pooler Campus

We invite you to sign up for a time below. Please fill out the form below and then select a time slot and hit the SUBMIT button at the bottom. Appointments are approximately five minutes long.

Location: The Community Room on the SJ/C Pooler Campus

Name

First NameLast Name

Date of Birth

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Gender

Where is the hernia located?

Appointments: Saturday, June 20