Download Forms

You may also request medical records by downloading the Authorization for Disclosure of Protected Health Information form and submitting it by fax, (229) 227-5183 or mail:

Information Release

900 Cairo Rd.  Attn: Medical Records, Thomasville, GA 31792  

Authorization for Disclosure of Protected Health Information

Autorización para Divulgar Información

For more information, please contact the Director, Frances Turner, at 229-227-5051 ext. 3338.

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