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Mizell Memorial Hospital Mizell Memorial Hospital
702 North Main Street Opp, Al 36467
334-493-3541

Mizell Medical Clinics
Clinic 1 334-493-3240
Clinic 2 334-493-5555
Specialty Clinic 334-493-5704
Elba Healthcare 334-493-5713
  • About Us
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    • Non-Discrimination Notice
    • Foundation
  • Providers
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    • Our Providers
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    • Referral/Order Documents
  • Services
    • Our Services
    • Anesthesiology
    • Cardiopulmonary Services
    • Chapel
    • Case Management and Social Services
    • Emergency Department
    • Food and Nutrition
    • Intensive Care
    • Laboratory
    • Medical Records
    • Medical Surgical
    • Mizell Medical Clinics
    • Nursing
    • Occupational Therapy
    • Outpatient Infusion Center
    • Opp Imaging Services (Open MRI)
    • Outpatient Services
    • Pharmacy
    • Physical Therapy
    • Radiology
    • Respiratory Care
    • Senior Behavioral Care Unit
    • Sleep Disorders Center
    • Speech Therapy
    • Surgery
    • Swing Bed Rehab
    • Wellness Center
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Referral/order documents


General Section

CT Lung Cancer Screening Form
OP Order Form
Pain Management Form
Sleep Center Order Form

Infusion Center Section

ACTH Stimulation Order Form
Asthma Agents Order Form
Blood Product Transfusion Order Form
Bone Marrow Stimulating Agents Order Form
Gastro Order Form
General IV Order Form
Headache Order Form
Hydration Order Form
Iron Products Order Form
IV Antibiotic Order Form
IV Immuno Globulin Order Form
Neurology Order Form
Osteoporosis Order Form
PICC Midline Placement Order Form
Rheumatology Order Form
Saline Suppression Order Form
Therapeutic Phlebotomy Order Form
Water Deprivation Test Order Form
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Our Address

702 North Main Street
Opp, Alabama 36467

MAIN NUMBER:

334-493-3541

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