Medical Record Request

Make an online medical record request

Southwell has partnered with ScanSTAT Technologies to ensure a seamless and secure online medical record request process. Please click on the link below:

Patient Record Requests | ScanSTAT Technologies

If you have any questions upon completing the records request form, do not hesitate to reach out to ScanSTAT via phone at 866-442-9026 or email at information@ScanSTAT.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.