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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