Thank you for your choosing the Ronald McDonald Care Mobile. Please complete the questions below to indicate your availability. This pre-registration survey is multiple pages, please be sure to complete all of the pages in order to be seen.
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Disclaimer: ALL Pre-registrations especially those for Vaccines/ Immunizations need completed 48hrs prior to the scheduled clinic day. Should you have any questions or concerns feel free to call (404)226-0012 you will be directed to our teams Medical Assistants.
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If you are not the patient's legal guardian, what is your relationship to the patient?
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What is the child's mother's maiden name?
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Please provide the parent or guardians first and last name.
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Please provide the parent or guardians date of birth.
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What is the child's first and last name?
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Child's date of birth
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M-D-Y
What is the child's age?
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What is the child's sex assigned at birth?
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What school does your child attend?
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Please choose your preferred day/location for a Clinic Day Appointment:
August 12, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) August 15, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) August 16, Kimberly Elementary, 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) August 19, Kindezi O4W, 1550 Hosea L. Williams Dr NE, Atlanta, GA 30317 (9a-2p) August 20, Kindezi Gideons, 897 Welch St SW, Atlanta, GA 30310 (9a-2p) August 21, Kindezi West, 286 Wilson Mill Rd SW, Atlanta, GA 30331 (9a-2p) August 23, Boyce Ansley School, 120 Ralph McGill Blvd NE, Atlanta, GA 30308 August 24, The Greater Solid Rock Baptist Church, 6280 Camp Rd, Riverdale, GA 30296 (9a-2p) August 26, Scott Elementary, 1752 Hollywood Rd NW, Atlanta, GA 30318 (9a-p) August 27, Seaborn Lee Elementary, 4600 Scarborough Rd, Atlanta, GA 30349 (9a-2p) August 28, Continental Colony, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) August 29, Harper Archer Elementary, 3399 Collier Dr NW, Atlanta, GA 30331 (9a-2p) August 30, Deerwood Elementary, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) September 3, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) September 4, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) September 5, Finch Elementary, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) September 6, Centennial Academy, 531 Luckie St NW, Atlanta, GA 30313 (9a-2p) September 9, Benjamin Mays HS, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (9a-2p) September 10, Hollis Innovation, 225 James P Brawley Dr NW, Atlanta, GA 30314 (9a-2p) September 12, Continental Colony, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) September 13, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) September 16, Kindezi O4W, 1550 Hosea L Williams Dr NE, Atlanta, GA 303017 (9a-2p) September 17, Kindezi Gideons, 897 Welch St SW, Atlanta, GA 30310 (9a-2p) September 18, Kindezi O4W, 1550 Hosea L Williams Dr NE, Atlanta, GA 303017 (9a-2p) September 19, Seaborn Lee, 4600 Scarborough Rd, Atlanta, GA 30349 (9a-2p) September 20, John Lewis Invictus, 1890 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 (9a-2p) September 23, Scott Elementary, 1752 Hollywood Rd NW, Atlanta, GA 30318 (9a-2p) September 24, Harper Archer, 3399 Collier Dr NW, Atlanta, GA 30331 (9a-2p) September 25, Deerwood Elementary, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) September 26, Paul D West, 2376 Headland Dr, East Point, GA 30344 (9a-2p) September 27, North Springs HS, 7447 Roswell Rd, Sandy Springs, GA 30328 (9a-2p) September 30, Kimberly Elementary, 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) October 1, Kindezi O4W, 1550 Hosea L Williams Dr NE, Atlanta, GA 303017 (9a-2p) October 2, Kindezi WEST, 286 Wilson Mill Rd SW, Atlanta, GA 30331 (9a-2p) October 3, Paul D West, 2376 Headland Dr, East Point, GA 30344 (9a-2p) October 4, Continental Colony, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) October 8, Finch ES, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) October 9, Fickett ES, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) October 10, South Atlanta HS, 800 Hutchens Rd SE, Atlanta, GA 30354 (9a-2p) October 11, Kimberly ES, 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) October 14, Sheltering Arms (Stonewall Tell), 520 Camp Dr, Atlanta, GA 30349 (8:30a-1:30p) October 15, Sheltering Arms (Stonewall Tell), 520 Camp Dr, Atlanta, GA 30349 (8:30a-1:30p) October 16, Sheltering Arms (Welcome All), 4365 Welcome All Rd, College Park, GA 30349 (8:30a-1:30p) October 17, Sheltering Arms (Oakley Township), 7210 Oakley Terrace, Fairburn, GA 30213 (8:30a-1:30p) October 18, Sheltering Arms (East Point), 2257 Mulberyy St, East Point, GA 30344 (8:30a-1:30p) October 21, Harper Archer, 3399 Collier Dr NW, Atlanta, GA 30331 (9a-2p) October 22, Centennial Academy, 531 Luckie St NW, Atlanta, GA 30313 (9a-2p) October 23, North Spring HS, 7447 Roswell Rd, Atlanta, GA 30328 (10a-3p) October 24, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) October 28, Riverwood HS, 5900 Raider Dr, Atlanta, GA 30328 (9a-2p) October 30, Kindezi Gideons, 897 Welch St SW, Atlanta, GA 30310 (9a-2p)
Please choose your preferred day/location for a Clinic Day Appointment:
April 9th, Liberty Point Elementary, 9000 Highpoint Rd, Union City, GA 30291 (9a-2p) April 10, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) April 11, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) April 15, Hollis Innovation Academy, 225 James P Brawley Dr NW, Atlanta, GA 30314 (9a-2p) April 16, Benjamin E Mays High, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (9a-2p) April 17, Dobbs Elementary, 2025 Jonesboro Rd SE, Atlanta, GA 30315 (9a-2p) April 18, Harper Archer Elementary, 3399 Collier Dr NW, Atlanta, GA 30331 (9a-2p) May 8, Kindezi WEST, 286 Wilson Rd SW, Atlanta, GA 30308 (9a-2p) May 10, Boyce Ansley School, 241 Ralph McGill Blvd, Atlanta, GA 30308 (9a-2p) May 13, Centennial Academy, 531 Luckie St NW, Atlanta, GA 30313 May 15, Kimberly Elementary, 3090 McMurray Dr SW, Atlanta, GA 30315 (9a-2p) May 16, Dobbs Elementary, 2025 Jonesboro Rd SE, Atlanta, GA 30315 (9a-2p) May 17, Scott Elementary, 1752 Hollywood Rd NW, Atlanta, GA 30318 (9a-2p) May 14, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) May 18, Lakewood Stadium, 70 Claire Dr SE, Atlanta, GA 30315 (10a-2p) June 4, Atlanta SMART Academy, 2636 MLK Dr SW, Atlanta, GA 30311 (9a-2p) June 6, McDonalds, 834 Cleveland Ave, Atlanta, GA 30344 (10a-2p) June 11, McDonalds, 5223 Jefferson Rd, Athens, GA 30606 (10a-2p) June 13, McDonalds, 707 Jesse Jewel Pkwy, Gainsville, GA 30501 (10a-2p) June 14, McDonalds, 3534 MLK Dr, Atlanta, GA 30331 (10a-2p) June 18, McDonalds, 1963 Pleasant Hill Rd, Duluth, GA 30096 (10a-2p) June 19, McDonalds, 3334 Clairmont Rd, Atlanta, GA 30329 (10a-2p) June 22, Atlanta SMART Academy, 2636 MLK Dr SW, Atlanta, GA 30311 (10a-2p) June 28, McDonalds, 1105 Northside Dr NW, Atlanta, GA 30318 (10a-2p) June 29, Greater Solid Rock Baptist Church, 6280 Camp Rd, Riverdale, GA 30296 (10a-2p) June 27, McDonalds, 2695 Old Peachtree Rd, Duluth, GA 30096 (10a-2p) July 9, McDonalds, 5115 Old National Hwy, College Park, GA 30329 (10a-2p) July 11, McDonalds, 2442 Martin Luther King Jr Dr, Atlanta, GA 30331 (10a-2p) July 12, McDonalds, 8745 Roswell Rd, Atlanta, GA 30350 (10a-2p) July 20, APS Back to School Bash, 275 Northside Dr, Atlanta, GA 30314 (9a-1p) July 27, First Day Fulton (B2SB), 5900 Raider Drive Sandy Springs, GA 30328 (10a-2p) July 29, McDonalds, 4050 Jiles Rd, Kennesaw, GA 30144 (10a-2p) July 30, Fickett Elementary (B2SB), 3935 Rux Rd SW, Atlanta, GA 30331 (10a-2p) July 31, McDonalds, 3334 Clairmont Rd, Atlanta, GA 30329 (10a-2p) July 17, McDonalds, 749 Hwy 53 East SE Calhoun, GA 30701 (10a-2p)
Please choose your preferred day/location for a Clinic Day Appointment:
October 2, Continental Colony ES, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) October 3, Fickett ES, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) October 4, Deerwood Academy, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) October 5, Benjamin Mays HS, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (9a-2p) October 9, Hollis Innovation Academy, 225 James P Brawley Dr NW, Atlanta, GA 30314 (9a-2p) October 11, Bunche Middle, 1925 Niskey Lake Rd, SW, Atlanta, GA 30331 (9a-2p) October 12, Seaborn Lee, 4600 Scarborough Rd SW, Atlanta, GA 30349 (9a-2p) October 13, Tri-Cities High, 2575 Harris St, East Point, GA 30344 (9a-2p) October 16, West Lake High, 2400 Union Rd SW, Atlanta, GA 30331 (9a-2p) October 17, Kindezi GIDEON, 897 Welch St SW, Atlanta, GA 30310 (9a-2p) October 18, Kindezi O4W, 386 Pine St NE, Atlanta, GA 30308 (9a-2p) October 19, Kindezi WEST, 286 Wilson Mill Rd SW, Atlanta, GA 30331 (9a-2p) October 23, Scott Elementary, 1752 Hollywood Rd NW, Atlanta, GA 30318 (9a-2p) October 24, Price Middle, 1670 Benjamin Weldon Bickers Dr SE, Atlanta, GA 30315 (9a-2p) October 26, Sandtown Middle, 5400 Campbellton Rd SW, Atlanta, GA 30331 (9a-2p) October 27, Paul D West, 2376 Headland Dr #2099, East Point, GA 30344 (9a-2p) October 31, Creekside HS, 7405 Herndon Rd, Fairburn, GA 30213 (9a-2p) November 1, Kimberly Elementary, 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) November 2, Centennial Academy, 531Luckie St NW, Atlanta, GA 30313 (9a-2p) November 7, South Atlanta High, 800 Hutchens Rd SE, Atlanta, GA 30354 (9a-2p) November 8, Tri-Cities High (Immunization Only), 2575 Harris St, East Point, GA 30344 (9a-2p) November 10, Hollis Innovation, 225 James P Brawley Dr NW, Atlanta, GA 30314 (9a-2p) November 11, McDonalds Event, 328 North Main St, Cedartown, GA 30215 (10a-2p) November 14, John Lewis Invictus, 1890 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 (9a-2p) November 16, Benjamin Mays High (Immunizations Only), 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (8a-4p) November 27, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) November 29, Johns Creek HS (Immunization Only), 5575 State Bridge Rd, Johns Creek, GA 30022 (8a-4p) December 1, Scott Elementary 1752 Hollywood Rd NW, Atlanta, GA 30318 (9a-2p) December 4, Fickett Elementary 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) December 5, Harper Archer 3399 Collier Rd NW, Atlanta, GA 30331 (9a-2p) December 6, Kimberly Elementary 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) January 9, Bunche Middle, 1925 Niskey Lake Rd, SW, Atlanta, GA 30331 (9a-2p) January 10, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) January 11, Continental Colony ES, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) January 16, Centennial Academy, 531 Luckie St NW, Atlanta, GA 30313 (9a-2p) January 17, John Lewis Academy, 1890 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 (9a-2p) January 18, Mimosa Elementary, 1550 Warsaw Rd, Roswell, GA 30076 (9a-2p) January 22, McNair Middle, 2800 Burdett Rd, Atlanta, GA 30349 (9a-2p) January 23, Harper Archer Elementary, 3399 Collier Dr NW, Atlanta, GA 30031 (9a-2p) January 25, Benjamin Mays HS, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (9a-2p) January 26, Langston Hughes HS, 7510 Hall Rd, Fairburn, GA 30213 (9a-2p) January 29, Deerwood Academy, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) January 31, Ison Springs ES, 8261 Ison Rd NE, Sandy Springs, GA 30350 (9a-2p) February 1, Kimberly ES, 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) February 2, Scott ES, 1752 Hollywood Rd NW, Atlanta, GA 30318 (9a-2p) February 5, South Atlanta HS, 800 Hutchens Rd SE, Atlanta, GA 30354 (9a-2p) February 7, Bunche Middle, 1925 Niskey Lake Rd, SW, Atlanta, GA 30331 (9a-2p) February 9, Kimberly ES, 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) February 12, Finch ES, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) February 13, Cliftondale ES, 3340 W Stubbs Rd College Park, GA 30349 (9a-2p) February 14, Benjamin Mays HS, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (9a-2p) February 15, Langston Hughes HS, 7510 Hall Rd, Fairburn, GA 30213 (9a-2p) February 16, John Lewis Invictus, 1890 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 (9a-2p) February 26, McNair Middle, 2800 Burdett Rd, Atlanta, GA 30349 (9a-2p) February 27, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) February 28, Vickery Mill ES, 1201 Alpharetta St, Roswell, GA 30075 (9a-2p) February 29, Mimosa ES, 1550 Warsaw Rd, Roswell, GA 30076 (9a-2p) March 1, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) March 4, Bunche Middle, 1925 Niskey Lake Rd, SW, Atlanta, GA 30331 (9a-2p) March 5, Deerwood Academy, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) March 6, South Atlanta High, 800 Hutchens Rd SE, Atlanta, GA 30354 (9a-2p) March 7, Benjamin Mays High, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (9a-2p) March 12, Cliftondale ES, 3340 W Stubbs Rd College Park, GA 30349 (9a-2p) March 13, Kindezi WEST, 286 Wilson Mill Rd SW, Atlanta, GA 30331 (9a-2p) March 14, Kindezi O4W, 386 Pine St NE, Atlanta, GA 30308 (9a-2p) March 15, Finch ES, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) March 18, Continental Colony ES, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) March 19, Kindezi GIDEONS, 897 Welch St SW, Atlanta, GA 30310 (9a-2p) March 20, Harper Archer ES, 3399 Collier Rd NW, Atlanta, GA 30331 (9a-2p) March 21, Seaborn Lee ES, 4600 Scarborough Rd SW, Atlanta, GA 30349 (9a-2p) March 22, Paul D West Middle, 2376 Headland Dr #2099, East Point, GA 30344 (9a-2p) March 26, John Lewis Invictus Academy, 1890 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 (9a-2p) March 27, Scott ES, 1752 Hollywood Rd NW, Atlanta, GA 30318 (9a-2p) March 28, Usher Collier ES, 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) March 29, Camp Creek Middle, 4345 Welcome All Rd, Atlanta, GA 30349 (9a-2p)
Please choose your preferred day/location for a Clinic Day Appointment:
* must provide value
January 9, Deerwood Academy 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) January 11, Fickett Elementary 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) January 13, Kimberly Elementary 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) January 18, Scott Elementary 1752 Hollywood Rd NW, Atlanta, GA 30318 (9a-2p) January 20, Kimberly Elementary 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) January 23, Hollis Innovation 225 James P Brawley Dr NW, Atlanta, GA 30314 (9a-2p) January 25, Kindezi Gideons 897 Welch St SW, Atlanta, GA 30310 (9a-2p) January 27, McNair Middle 2800 Burdett Rd, Atlanta, GA 30349 (9a-2p) January 30, Centennial Academy 531 Luckie St NW, Atlanta, GA 30313 (8:30a-12:30p) February 1, Harper Archer 3399 Collier Dr NW, Atlanta, GA 30331 (9a-2p) February 3, Bunche Middle 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) February 6, Deerwood Academy 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) February 8, Bunche Middle 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) February 10, Kimberly Elementary 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) February 13, Kindezi WEST 286 Wilson Mill Rd SW, Atlanta, GA 30331 (9a-2p) February 15, Scott Elementary 1752 Hollywood Rd NW, Atlanta, GA 30318 (9a-2p) February 17, Usher Collier 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) February 22, Kindezi GIDEONS 897 Welch St SW, Atlanta, GA 30310 (9a-2p) February 24, McNair Middle 2800 Burdett Rd, Atlanta, GA 30349 (9a-2p) February 27, Centennial Academy 531 Luckie St NW, Atlanta, GA 30313 (8:30a-12:30p) SPECIAL EVENT: February 22, Bear Creek Middle 7415 Herndon Rd, Fairburn, GA 30213 (9a-2p) SPECIAL EVENT: February 13, Hollis Innovation 225 James P Brawley Dr NW, Atlanta, GA 30314 (9a-2p) SPECIAL EVENT: February 15, Continental Colony 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) March 1, Kindezi Old Fourth Ward, 386 Pine St NE, Atlanta, GA 30308 (9a-2p) March 2, Douglass High, 225 Hamilton E Holmes Dr NW, Atlanta, GA 30318 (9a-2p) March 3, Kimberly Elementary, 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) March 7, Douglass High, 225 Hamilton E Holmes Dr NW, Atlanta, GA 30318 (9a-2p) March 8, Carver STEAM Academy, 55 McDonough Blvd SE, Atlanta, GA 30315 (10a-3p) SPECIAL EVENT: March 10, McDonalds, 3334 Clairmont Rd NE, Brookhaven, GA 30329 (9a-1p) March 13, Kindezi Gideons, 897 Welch St SW, Atlanta, GA 30310 (9a-2p) March 14, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) March 15, Carver STEAM Academy, 55 McDonough Blvd SE, Atlanta, GA 30315 (10a-3p) March 16, Kindezi WEST, 286 Wilson Mill Rd SW, Atlanta, GA 30331 (9a-2p) March 21, Hollis Innovation, 225 James P Brawley Atlanta, GA 30314 (9a-2p) March 22, Usher Collier, 631 Harwell Rd NW Atlanta, GA 30318 (9a-2p) March 23, Ison Springs Elementary, 8261 Ison Rd NE, Sandy Springs, GA 30350 (9a-2p) March 24, Finch Elementary, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) March 27, Continental Colony, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) March 28, Centennial Academy, 526 Centennial Olympic Park Dr NW, Atlanta, GA 30313 (9a-2p) March 29, Pinnacle Pointe Academy, 4910 Jonesboro Rd Suite 402, Union City, GA 30291 (9a-2p) March 30, Palmetto Elementary, 505 Carlton Rd, Palmetto, Ga 30068 (9a-2p) April 17, KIPP WAYS Primary, 350 Temple St NW, Atlanta, GA 30314 (9a-2p) April 18, Cliftondale Elementary, 3340 W Stubbs Rd, College Park, GA (9a-2p) April 19, Seaborn Lee Elementary, 4600 Scarborough Rd, College Park, GA 30349 (9a-2p) April 20, Ison Springs Elementary School, 8261 Ison Rd NE, Sandy Springs, GA 30350 (9a-2p) April 24, Deerwood Elementary, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) April 25, Liberty Point, 9000 Highpoint Rd, College Park, GA 30291 (9a-2p) April 26, Finch Elementary, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) April 27, Douglass High, 225 Hamilton E Holmes Dr, Atlanta, GA 30318 (9a-2p) May 15, Deerwood Elementary, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) May 16, Liberty Point Elementary, 9000 High Point Rd, College Park, GA 30291 (9a-2p) May 17, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) May 19, Douglass High, 225 Hamilton E Holmes Dr NW, Atlanta, GA 30318 (9a-2p) May 26, Ethos Classical Charter, 2295 Springdale Cir SW, Atlanta, GA 30315 (9a-2p) May 20, Grove Park YMCA, 636 Francis Pl NW, Atlanta, Ga (10a-2p) June 8, McDonald, 4434 Moreland Ave, Atlanta, Ga 30316 (10a-4p) June 13, McDonald 3334 Clairmont Rd, Atlanta, GA 30329 (10a-4p) June 19, West Lake High, 2400 Union Rd SW, Atlanta, GA 30331 (10a-4p) June 20, McDonalds, 834 Cleveland Ave, East Point, GA 30344 (10a-4p) June 21, Kindezi Gideons. 897 Welch St SW, Atlanta, GA 30310 (9a-2p) June 22, McDonalds, 1963 Pleasant Hill Rd, Duluth, GA 30096 (10a-4p) June 29, McDonalds, 5115 Old National Dr, Atlanta, GA 30349 (10a-4p) June 28, Kindezi Gideons. 897 Welch St SW, Atlanta, GA 30310 (9a-2p) July 7, McDonalds, 2929 Peachtree Rd NE Atlanta, GA 30305 (10a-4p) July 12, McDonalds, 2695 Old Peachtree Rd NW, Duluth, GA 30097 (10a-4p) July 13, McDonalds, 749 Hwy 53 East SE Calhoun, GA 30701 (9a-2p) July 18, C.H.Gullatt, 6110 Dodson Rd, Union City, GA 30291 (8a-2p) July 19, McDonalds, 3201 Camp Creek Pkwy, East Point, GA 30344 (10a-4p) July 20, McDonalds, 1102 Northside Dr NW, Atlanta, GA 30318 (10a-2p) July 22, APS Back 2 School Bash, 285 Andrew Young International Blvd NW, Atlanta, GA 30313 (9a-1p) July 24, West Lake High, 2400 Union Rd SW, Atlanta, GA 30331 (9a-2p) July 29, First Day Fulton, 7447 Roswell Rd, Sandy Springs, GA 30328 (10a-2p) July 26, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-1p) July 27, Liberty Point Elementary, 9000 High Point Rd, College Park, GA 30291 (9a-2p) August 9, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) August 10, Continental Colony, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) August 11, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) August 14, Kindezi Old Fourth Ward, 386 Pine St NE, Atlanta, GA 30308 (9a-2p) August 15, Kindezi WEST, 286 Wilson Mill Rd SW, Atlanta, GA 30331 (9a-2p) August 16, Finch Elementary, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) August 17, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) August 22, C.H. Gullatt, 6110 Dodson Rd, Union City, GA 30291 (9a-2p) August 24, Seaborn Lee Elementary, 4600 Scarborough Rd, College Park, GA 30349 (9a-2p) August 21, Kindezi Gideons, 897 Welch St SW, Atlanta, GA 30310 (9a-2p) August 25, Sandtown Middle, 5400 Campbellton Rd SW, Atlanta, GA 30331 (9a-2p) September 23, Community Event: The Greater Solid Rock Baptist Church Inc. 6280 Camp Road Riverdale, Ga 30297 (10a-3p) September 18th, Seaborn Lee Elementary, 4600 Scarborough Rd, College Park, GA 30349 (9a-2p) September 19th, Kindezi WEST, 286 Wilson Mill Rd SW, Atlanta, GA 30331 (9a-2p) September 20th, Finch Elementary, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) September 21st, C. H. Gullatt, 6110 Dodson Rd, Union City, GA 30291 (9a-2p) September 25th, Kindezi Gideons, 897 Welch St SW, Atlanta, GA 30310 (9a-2p) September 26th, Usher Collier, 631 Harwell Rd NW Atlanta, GA 30318 (9a-2p) September 27th, Global Impact HS, 155 Shaw Dr. Fairburn, GA 30213 (9a-2p) September 28th, Kindezi O4W, 386 Pine St NE, Atlanta, GA 30308 (9a-2p) September 29th, Kimberly Elementary, 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p)
Please choose your preferred day/location for a Clinic Day Appointment:
* must provide value
October 4 - North Atlanta High, 4111 Northside Pkwy NW Atlanta, GA 30327 (9a -2p) October 6 - Hollis Innovation Academy, 225 James P Brawley Dr NW Atlanta, GA 30314 (9a - 2p) October 8 - Bear Creek Middle, 7415 Herndon Rd Fairburn, GA 30213 (10a - 4p) October 1 - Bunche Middle, 1925 Niskey Lake Rd SW Atlanta, GA 30331 (9a - 2p) September 2- Woodland Middle, 2745 Stone Rd, East Point, GA 30344 (10a - 4p) September 3- Carver Early College, 55 McDonough BLVD SE, Atlanta, GA 30315 (10a - 4p) September 8- Mays High School, 3450 Benjamin E Mays Dr, Atlanta, GA 30331 (10a - 4p) September 10- Luther J Price Middle, 1670 Benjamin Weldon Bickers Dr SE, Atlanta, GA 30315 (10a - 4p) September 13- Therrell High, 3099 Panther Trail SW, Atlanta, GA 30311 (10a - 4p) September 16- Woodland Middle, 2745 Stone Rd, East Point, GA 30344 (10a - 4p) September 17- Boyd Elementary, 1891 Johnson Rd NW, Atlanta, GA 30318 (9a-2p) September 20- Therrell High, 3099 Panther Trail SW, Atlanta, GA 30311 (10a - 4p) September 22- Ridgeview Charter, 5340 South Trimble Rd, Sandy Springs, GA 30342 (10a - 4p) September 24- South Atlanta High, 800 N Hutchens Rd SE, Atlanta, GA 30354 (10a - 4p) September 27- Mays High School, 3450 Benjamin E Mays Dr, Atlanta, GA 30331 (10a - 4p) September 29- Paul D West, 2376 Headland Dr, East Point, GA 30344 (10a - 4p) October 13, Booker T. Washington High, 45 Whitehouse Dr SW Atlanta, Ga 30314 (10a - 4p) October 15, Sylvan Hills Middle, 1461 Sylvan Rd SW Atlanta, GA 30310 (9a - 2p) October 18, Luther J Price Middle, 1670 Benjamin Weldon Bickers Dr SE Atlanta, GA 30315 (8:30a - 3:30p) October 20, North Atlanta High School, 4111 Northside Pkwy NW Atlanta, GA 30327 (9a -2p) October 22, Continental Colony, 3181 Hogan Rd SW Atlanta, GA 30331 (9a - 2p) October 25, Crawford Long Middle, 3200 Latona Dr SW Atlanta, GA 30354 (9a - 2p) October 27, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a - 2p) October 29, McNair Middle, 2800 Burdett Rd College Park, GA 30349 (9a -2p) November 1, Sandtown Middle, 5400 Campbellton Rd SW, Atlanta, GA 30331 (9a-2p) November 2, McNair Middle, 2800 Burdett Rd College Park, GA 30349 (9a -2p) November 3, South Atlanta High, 800 Hutchens Rd SE, Atlanta, GA 30354 (9a-2p) November 4, Therrell High, 3099 Panther Trl SW, Atlanta, GA 30311 (10a-2:30p) November 5, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) November 8, John Lewis Invictus Academy, 1890 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 (10a-3p) November 9, Price Middle, 1670 Benjamin Weldon Bickers Dr SE, Atlanta, GA 30315 (9a-2p) November 10, Harper Archer, 3399 Collier Dr NW, Atlanta, GA 30331 (9a-2p) November 11, Carver Early College, 55 McDonough Blvd SE, Atlanta, GA 30315 (10a-3p) November 12, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) November 15, Bear Creek Middle, 7415 Herndon Rd Fairburn, GA 30213 (9a - 2p) November 16, Finch Elementary, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) November 29, Benjamin E Mays High, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (10a-2:30p) November 30, Douglass High, 225 Hamilton E Holmes Dr NW, Atlanta, GA 30318 (10a-2:30p) December 7, Harper Archer, 3399 Collier Dr NW, Atlanta, GA 30331 (9a-2p) December 8, Midtown High, 929 Charles Allen Dr NE, Atlanta, GA 30309 (9a-2p) December 9, Finch Elementary, 1114 Avon Ave. SW, Atlanta, GA 30310 (9a-2p) December 10, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) December 13, Therrell High, 3099 Panther Trail SW, Atlanta, GA 30331(10a-2:30p) December 14, Continental Colony, 3181 Hogan RD SW, Atlanta, GA 30331 (9a-2p) December 15, John Lewis, 1890 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 (9a-2p) January 10, Carver Early College, 55 McDonough Blvd SE, Atlanta, GA 30315 (10-2:30p) January 11, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9-2:00p) January 12, Continental Colony, 3181 Hogan Rd SW, Atlanta, GA 30331 (9-2:00p) January 13, Benjamin E Mays, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (10-3:00p) January 14, Sutton Middle, 2875 Northside Dr NW, #2807, Atlanta, GA 30305 (9-2:00p) January 18, Creekside High, 7405 Herndon Rd, Fairburn, GA 30213 (10-3:00p) January 19, Harper Archer, 3399 Collier Dr NW, Atlanta, GA 30331 (9-2:00p) January 20, Midtown High, 929 Charles Allen Dr NE, Atlanta, GA 30309 (10-3:00p) January 21, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9-2:00p) January 24, Benjamin E Mays, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (10-3:00p) January 25, Hollis Academy, 225 James P Brawley Dr NW, Atlanta, GA 30314 (9-2:00p) January 26, Camp Creek Middle, 4345 Welcome All Rd, Atlanta, GA 30349 (10-3:00p) January 27, Deerwood Elementary, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9-2:00p) January 28, Bunche Middle School, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (10a-3p) January 31, Carver STEAM, 55 McDonough Blvd SE, Atlanta, GA 30315 (9-2:00p) February 2, Bunche Middle School, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (10a-3p) February 4, Continental Colony, 3181 Hogan Rd SW Atlanta, GA 30331 (9a - 2p) February 9, Harper Archer, 3399 Collier Dr NW, Atlanta, GA 30331 (9-2:00p) February 11, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a - 2p) February 18, John Lewis, 1890 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 (9a-2p) February 23, Hollis Innovation Academy, 225 James P Brawley Dr NW Atlanta, GA 30314 (9a - 2p) February 25, Sutton Middle (Northside Dr), 4191 Northside Dr NW, Atlanta, GA 30342 (9a-2p) March 2, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a - 2p) March 4, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) March 9, John Lewis Invictus Academy, 1890 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 (10a-3p) March 11, Benjamin E Mays High, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (10-3:00p) March 16, Midtown High, 929 Charles Allen Dr NE, Atlanta, GA 30309 (10-3:00p) March 18, Continental Colony, 3181 Hogan Rd SW Atlanta, GA 30331 (9a - 2p) March 23, Therrell High, 3099 Panther Trail SW, Atlanta, GA 30311 (10a-3p) March 30, Sutton Middle (6th Grade ONLY), 4360 Powers Ferry Rd NW, Atlanta, GA 30327 (9a-2p)
Please choose your preferred day/location for a clinic day appointment:
* must provide value
March 2, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a - 2p) March 4, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) March 9, John Lewis Invictus Academy, 1890 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 (10a-3p) March 11, Benjamin E Mays High, 3450 Benjamin E Mays Dr SW, Atlanta, GA 30331 (10-3:00p) March 16, Midtown High, 929 Charles Allen Dr NE, Atlanta, GA 30309 (10-3:00p) March 18, Continental Colony, 3181 Hogan Rd SW Atlanta, GA 30331 (9a - 2p) March 23, Midtown High, 929 Charles Allen Dr NE, Atlanta, GA 30309 (10a-3p) March 23, Midtown High, 929 Charles Allen Dr NE, Atlanta, GA 30309 (10a-3p) March 23, Midtown High, 929 Charles Allen Dr NE, Atlanta, GA 30309 (10a-3p) March 30, Sutton Middle (6th Grade ONLY), 4360 Powers Ferry Rd NW, Atlanta, GA 30327 (9a-2p) April 1, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) April13, Finch Elementary, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) April 15, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) April 20, Therrell High, 3099 Panther Trail SW, Atlanta, GA 30311 (10a-3p) April 22, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) April 27, Continental Colony, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) April 29, Deerwood Academy, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) May 2, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) May 4, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a - 2p) May 6, Paul D West, 2376 Headland Dr. #2099, East Point, GA 30344 (9a-2p) June 1, McDonald's , 3334 Clairmont Rd. Atlanta, GA 30329 (10a-4p) June 3, McDonald's, 4605 Jonesboro Rd, Union City, GA 30291 (10a-4p) June 15, McDonald's, 749 HWY 53 East SE, Calhoun, GA 30701(10a-2p) June 22, McDonald's, 2442 Martin Luther King Dr. , Atlanta, GA 30331 (10a-4p) July 6, McDonald's, 3531 Flat Shoals Rd, Decatur, GA 30034 (10a-4p) July 8, McDonald's, 1963 Pleasant Hill Rd, Duluth, GA 30096 (10a-2p) July 11, McDonald's, 1881 Grayson Hwy, Grayson, GA (10a-2p) July 1, McDonald's, 2695 Old Peachtree Rd NW, Duluth, GA (10a-2p) June 17, McDonald's, 1203 Virginia Ave East Point, Ga 30344 (10a-4p) July 22, McDonald's, 2695 Old Peachtree Rd NW Duluth, GA 30096 (10a-4p)
Disclaimer: Please arrive well in advance of the ALL clinic end times. The Care Mobile Team will end 30 minutes prior to the cut off time for breakdown preparations. Please arrive no later than an hour prior to cut off time.
Please choose your preferred day/location for a clinic day appointment:
* must provide value
June 17, McDonald's, 1203 Virginia Ave East Point, Ga 30344 (10a-4p) June 22, McDonald's, 2442 Martin Luther King Dr. Atlanta, GA (10a-4p) June 29, McDonald's, 834 Cleveland Ave East Point, 30344 (10a-4p) July 6, McDonald's, 3531 Flat Shoals Rd, Decatur, GA 30034 (10a-4p) July 8, McDonald's, 1963 Pleasant Hill Rd, Duluth, GA 30096 (10a-2p) July 11, McDonald's, 1881 Grayson Hwy, Grayson, GA (10a-2p) July 22, McDonald's, 2695 Old Peachtree Rd NW Duluth, GA 30096 (10a-4p) June 27, Kindezi (Old Fourth Ward), 386 Pine Street NE, Atlanta, GA 30308 (9a-3p) July 13, Sheltering Arms (Model Center), 385 Centennial Olympic Park Dr NW, Atlanta, GA 30313 July 15, Sheltering Arms (Obama Center), 195 Tuskegee St SE, Atlanta, GA, 30315 July 18, Sheltering Arms (East Lake), 350 E. Lake Blvd SE, Atlanta, GA 30317 July 25, Sheltering Arms (Educare), 404 Fulton Sr SW, Atlanta, GA 30312 July 27, Fickett Elementary (Back to School), 3935 Rux Rd SW, Atlanta, GA 30331 July 16, Templo De adoracion Bethel, Inc., 1837 Olive Springs Rd SE, Marrietta, GA 30060 July 22, McDonalds, 2695 Old Peachtree Rd NW Duluth, GA 30096 (10-2p) July 25, Sheltering Arms (Educare), 404 Fulton St SW, Atlanta, GA 30312 (8a-12p) July 27, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) August 3, Sheltering Arms I(VCC), 3375 Chamblee Dunwoody Rd, Chamblee, GA 30341 August 5, Sheltering Arms (Welcome All), 4365 Welcome All Rd, College Park, GA 30349 August 8 , Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) August 10, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 August 12, Sheltering Arms (East Point), 2257 Mulberry St, East Point, GA 30344 August 15, Finch Elementary, 114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) August 17, Deerwood Academy, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) August 22, Continental Colony, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) August 24, Sutton Middle *Powers Ferry,4360 Powers Ferry Rd, Atlanta, GA 30327 (9a-2p) August 26, Sheltering Arms (Stonewall Tell), 5020 Camp Dr, Atlanta, GA 30349 (8a-12p) August 29, Sheltering Arms (Oakley Township) 7210 Oakley Terrace, Fairburn, GA 30213 (8a-12p) August 31, Sheltering Arms (Norcross), 5360 Old Norcross Rd, Norcross, GA 30071 (8a-12p) September 2, Pinnacle Pointe Academy, 4910 Jonesboro Rd, Union City, Ga 30291 (9a-2p) September 7, Sheltering Arms (Welcome ALL), 4365 Welcome All Rd, College Park, Ga 30349 (8a-12p) September 9, Finch Elementary, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) September 12, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) September 14, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) September 19, Deerwood Academy, 3070 Fairburn Rd, SW, Atlanta, GA 30331 (9a-2p) September 21, Sutton Middle, 4360 Powers Ferry Rd NW, Atlanta, GA 30327 (9a-2p) September 23, KIPP WAYS Primary, 350 Temple St NW, Atlanta, GA 30314 (8:30a-1p) September 26, Kimberly Elementary, 3090 McMurray Dr SW, Atlanta, GA 30311 (9a-2p) September 28, Continental Colony, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) September 29, RBBY Foundation, 1745 Phoenix Blvd., College Park, GA 30349 (8:30-12:30pm) September 30, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) October 14, Paul D West, 2376 Headland Dr, East Point, GA 30344 (9a-2p) October 17, Kindezi (West), 286 Wilson Mill Rd SW, Atlanta, GA 30331 (9a-2p) October 19, Sutton Middle, 4360 Powers Ferry Rd NW, Atlanta, GA 30327 (9a-2p) October 21, Woodland Middle, 2745 Stone Rd, East Point, GA 30344 (9a-2p) October 24, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) October 26, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) October 28, Cascade Elementary, 2326 Venetian Dr SW, Atlanta, GA 30311 (9a-2p) October 31, Therrell High, 3099 Panther Trail SW, Atlanta, GA 30311 (10a-3p) November 2, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) November 4, Finch Elementary, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) November 7, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) November 9, Bunche Middle, 1925 Niskey Lake Rd SW, Atlanta, GA 30331 (9a-2p) November 11, Deerwood Academy, 3070 Fairburn Rd SW, Atlanta, GA 30331 (9a-2p) November 14, Sutton Middle, 4360 Powers Ferry Rd NW, Atlanta, GA 30327 (9a-2p) November 16, Kindezi Gideons, 897 Welch St NW, Atlanta, GA 30310 November 18, Price Middle, 1670 Benjamin Weldon Bickers Dr SE, Atlanta, GA 30315 (8:30a-1:30p) November 28, Continental Colony, 3181 Hogan Rd SW, Atlanta, GA 30331 (9a-2p) November 30, KIPP WAYS, 350 Temple St NW, Atlanta, GA 30314 (9a-2p) December 2, Fickett Elementary, 3935 Rux Rd SW, Atlanta, GA 30331 (9a-2p) December 3, McDonald's Restaurant, 834 Cleveland Ave, East Point, GA (9a-2p) December 5, Usher Collier, 631 Harwell Rd NW, Atlanta, GA 30318 (9a-2p) December 7, Finch Elementary, 1114 Avon Ave SW, Atlanta, GA 30310 (9a-2p) December 9, Pinnacle Pointe Academy, 4910 Jonesboro Rd Ste. 402, Union City, GA 30291 December 12, Cascade Elementary, 2326 Venetian Dr SW, Atlanta, GA 30311 (9a-2p) December 14, Kindezi (Old Fourth Ward), 386 Pine St NE, Atlanta, GA, 30308
Has your child had a visit within the past 2 years with their primary care doctor?
* must provide value
Yes
No
What service would you prefer for the Clinic Day?
* must provide value
Asthma
Sports Physical
Vaccine/Immunizations
Hearing and Vision Screening (3300 Form)
Health Checks (ONLY Ages 3-10 years)
Asthma
Sports Physical
Vaccine/Immunizations
Hearing and Vision Screening (3300 Form)
Health Checks (ONLY Ages 3-10 years)
Disclaimer: The Ronald McDonald Care Mobile does not accept insurance from Kaiser, SSI Medicaid, United Healthcare, and Tri-Care. Should you care to proceed still with the services, please be aware you will receive a bill in the mail.
Does your child have insurance?
* must provide value
Yes
No
Does your child have a primary care physician?
* must provide value
Yes
No
Please provide your child's primary care physicians name.
* must provide value
At the last visit was your child sick or well?
* must provide value
Sick Well
When was the last time your child was seen at the dentist?
* must provide value
If the flu vaccine were available, would you be interested?
Yes
No
If the COVID vaccine were available would you be interested?
Yes
No