{"id":37030,"date":"2023-01-25T13:29:58","date_gmt":"2023-01-25T18:29:58","guid":{"rendered":"https:\/\/mysouthwell.com\/?page_id=37030"},"modified":"2026-03-20T10:02:18","modified_gmt":"2026-03-20T14:02:18","slug":"medical-record-request","status":"publish","type":"page","link":"https:\/\/mysouthwell.com\/medical-record-request\/","title":{"rendered":"Medical Record Request"},"content":{"rendered":"\t\t
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Home<\/a> \/ Patient & Visitors<\/a> \/ Medical Record Request<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Medical Record Request<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Make an online medical record request<\/strong><\/p>\n

Southwell has partnered with Verisma<\/span> to ensure a seamless and secure online medical record request process. Click here to make an online medical record request: Patient Record Requests | Verisma<\/span><\/a><\/p>\n\n

If you have any questions upon completing the records request form, do not hesitate to reach out to Verisma via phone at 866-390-7404<\/span> or email at status@verisma.com<\/a><\/p>\n\n

Prefer to drop-off or mail your medical record request?<\/strong><\/p>\n\n

If you prefer to drop-off or mail your medical record request, please click on the link below:<\/span><\/p>\n\n

Medical Release Forms<\/a>\u00a0<\/p>\n\n

For any questions or for further assistance, please call our Health Information Management Department at 229-353-6110.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Medical Release Forms for Tift Regional Health Systems, Inc and Southwell Ambulatory.<\/p>\n","protected":false},"author":6,"featured_media":20865,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"page_categories":[432],"class_list":["post-37030","page","type-page","status-publish","has-post-thumbnail","hentry","page_categories-patient-resource"],"acf":[],"yoast_head":"\nMedical Record Request - Southwell<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mysouthwell.com\/medical-record-request\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medical Record Request - Southwell\" \/>\n<meta property=\"og:description\" content=\"Medical Release Forms for Tift Regional Health Systems, Inc and Southwell Ambulatory.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/mysouthwell.com\/medical-record-request\/\" \/>\n<meta property=\"og:site_name\" content=\"Southwell\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-20T14:02:18+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/mysouthwell.com\/wp-content\/uploads\/2022\/03\/FPO-services.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"476\" \/>\n\t<meta property=\"og:image:height\" content=\"268\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/mysouthwell.com\\\/medical-record-request\\\/\",\"url\":\"https:\\\/\\\/mysouthwell.com\\\/medical-record-request\\\/\",\"name\":\"Medical Record Request - 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