Thank you for your interest in protecting life and fighting alongside CWA to fight abortion extremists. Please fill out this short form and you will be helping us immensely in our fight for truth and life.Yes, I have in the past or plan to obtain healthcare services at one of the facilities associated with these healthcare entities:— Emory University Hospital at 1364 Clifton Road, Atlanta, GA— Emory University Hospital Midtown at 550 Peachtree St, NE, Atlanta, GA— Emory Johns Creek Hospital, 6325 Hospital Parkway, Johns Creek, GA— St. Mary’s Hospital at 1230 Baxter Street, Athens, GA— St. Mary’s Hospice House at 1660 Jennings Mill Road, Watkinsville, GA— St. Mary’s Outpatient Radiology at 2470 Daniells Bridge Road, Athens, GA
Click this button if the services you have or will receive were/are related to a pregnancy.Name*