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

For more information, please contact the Director, Frances Turner, at 229.227.5051 or the Quality Control Manager, Crysta Andrews, at 229.227.5056.