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Medical Release Forms
Tift Regional Health System, Inc.
Please use the following form for Tift Regional Health System, Inc. locations:
For a list of locations, please click this link:
Southwell Ambulatory, Inc.
Please use the following form for Southwell Ambulatory, Inc. locations:
Southwell Gastroenterology Valdosta
410 Connell Road, Valdosta GA 31602
Southwell Valdosta Endoscopy Center
410 Connell Road, Valdosta GA 31602
Southwell Gastroenterology Lowndes
3790 Old US 41, Suite B, Valdosta GA 31706
Southwell Lowndes Endoscopy Center
3790 Old US 41, Suite C, Valdosta GA 31706
Southwell Infectious Disease
2301 North Ashley Street, Valdosta GA 31602
Southwell Primary Care
2922 North Oak Street, Suite C, Valdosta GA 31602
Southwell OB/GYN
814 Northwood Park Drive, Valdosta GA 31602
Southwell Internal Medicine
410 Connell Road, Valdosta GA 31602
