Authorization for Release of Medical Records
Request for copies of records from patients must be in writing. The patient must complete this authorization form and produce picture identification; or the signature on the authorization form must match the signature in the record.
The patient must state his purpose for obtaining copies of the record. A charge will be made for copies obtained for use other than continuing medical care.
Records may be released to a person designated by the patient in writing.
South Georgia Medical Center patients must obtain copies of their medical records at:
SGMC Patient Financial Services Building at the SGMC Main Campus
402 Woodrow Wilson Dr.
Valdosta, GA, 31602
Monday-Friday, 7:30am – 4pm
Phone: 229.433.8055 Fax: 229-433-8415
Health Information Management, Release of Information, is not available at the SGMC main campus.