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.
Effective March 2, 2015:
South Georgia Medical Center patients must obtain copies of their medical records at:
SGMC Outpatient Plaza
4280 North Valdosta Road
Health Information Management, Release of Information, will no longer be available at SGMC main campus.
For more information call 229.433.8055.