Annual Vendor Certification

Southwell’s Compliance Program requires that all vendors make annual certifications. Please complete the information and submit as directed.

If you are a vendor for Tift Regional Health System, Inc., please click the following link for the correct form:

If you are a vendor for Southwell Ambulatory, Inc., please click the following link for the correct form: 

WE LOOK FORWARD TO SERVING YOU

(229) 382-7120 or (800) 648-1935

info@mysouthwell.com

901 18th Street Tifton, GA 31794