An official website of the State of Georgia.
How you know
Local, state, and federal government websites often end in .gov. State of Georgia government websites and email systems use “georgia.gov” or “ga.gov” at the end of the address. Before sharing sensitive or personal information, make sure you’re on an official state website.
Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia.
The GBHCW has established a grant to provide medical malpractice insurance premium grants to physicians and dentists that maintain a practice in an underserved rural area of the state. Please find the forms below.
Medical Malpractice Insurance Premium Grant Application
Vendor Management Form
Vendor Management Form (sample)
W-9 Form (sample)