Medical Record Request

Make an online medical record request

Southwell has partnered with Verisma to ensure a seamless and secure online medical record request process. Click here to make an online medical record request: Patient Record Requests | Verisma

If you have any questions upon completing the records request form, do not hesitate to reach out to Verisma via phone at 866-390-7404 or email at status@verisma.com

Prefer to drop-off or mail your medical record request?

If you prefer to drop-off or mail your medical record request, please click on the link below:

Medical Release Forms 

For any questions or for further assistance, please call our Health Information Management Department at 229-353-6110.