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MUSC Breast Imaging Center fax number

(843) 876-8250

Breast Imaging Center

Used for: Authorization to Obtain Protected Health Information (PHI) / Medical records release

Fax destination details

Department
Breast Imaging Center
Purpose
Authorization to Obtain Protected Health Information (PHI) / Medical records release
Form
Authorization to Obtain Protected Health Information — Authorization to Obtain Protected Health Information
Address
1600 Midtown Ave, Mount Pleasant, SC 29464
Voice phone
843-876-8127

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.

Fill patient information, identify records to be released, recipient, purpose, and sign/date. Submission typically accompanies PHI requests for radiology/imaging records.

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