Atlantic General Hospital



All orders can be picked up at Support Group meetings. You must attend support groups to purchase items. Payment for products is expected at time of delivery.

(Attn: Angela Simmons, CRNP, CBN)

Email: asimmons@

Name: ______________________ Support Group Meeting Attending: (Circle)

Phone: ______________________ Tuesday: 5PM & 5:30 Wednesday: 12PM

|ITEM |QUANTITY |

| | |

|BEVERAGES: | |

|Chocolate w/Fiber | |

|Chocolate | |

|Hot Cocoa | |

|Mocha | |

|Strawberry | |

|Vanilla | |

| | |

|SOUPS: | |

|Cheddar Broccoli | |

|Cream of Chicken | |

|Homestyle Chicken Noodle | |

|Minestrone | |

|Vegetarian Chili | |

| | |

|PUDDINGS: | |

|Chocolate | |

|Vanilla | |

|Lemon w/Fiber | |

| | |

|BARS: | |

|15g Variety Pack | |

|10g Variety Pack | |

|Caramel Cocoa | |

|Chocolate Almond | |

|Cinnamon | |

|Dark Chocolate S’mores | |

|Fudge Graham | |

|Lemon Meringue | |

|Peanut | |

|Peppermint Cocoa Crunch | |

|Shortbread Cookie | |

|Vanilla Caramel Crunch | |

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