5879-D New Peachtree Rd. Doraville, GA 30340 contact@iwillsurviveinc.org 404-483-8503

Client Information Sheet

Thank you for allowing I Will Survive, Inc. to assist you in your Survival. Please remember to do your monthly breast self-exams and find ways to reduce stress. Continue to eat healthy and exercise, reduce alcohol, and stop smoking. By signing this document you are agreeing that all the information you presented is true to the best of your knowledge.