Medical Release Forms

Tift Regional Health System, Inc.

Please use the following form for Tift Regional Health System, Inc. locations:

TRHS Medical Release

For a list of locations, please click this link:

TRHS Locations

Southwell Ambulatory, Inc.  

Please use the following form for Southwell Ambulatory, Inc. locations:

Southwell Ambulatory Medical Release

For a list of locations, please click this link:

Southwell Ambulatory Locations