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Conway Medical Center fax number

(843) 347-0647

Medical Records / Health Information Management (HIM)

Used for: Medical records request / HIPAA release form submission

Fax destination details

Department
Medical Records / Health Information Management (HIM)
Purpose
Medical records request / HIPAA release form submission
Form
HIPAA Release Form — HIPAA Release Form
Address
300 Singleton Ridge Road, Conway, SC 29526
Voice phone
843-347-7111

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Print, complete, and mail the HIPAA Release Form to Medical Records/HIM at Conway Medical Center, 300 Singleton Ridge Road, Conway, SC 29526. You may also submit the form through your primary care or specialty clinic.

Review official form instructions

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