Home / Patient & Visitors / Medical Release
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 Ambulatory 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