Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Tidelands Health (Georgetown Memorial Hospital and Waccamaw Community Hospital). Before sending anything sensitive, confirm the number and receiving department directly with Tidelands Health (Georgetown Memorial Hospital and Waccamaw Community Hospital), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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Tidelands Health (Georgetown Memorial Hospital and Waccamaw Community Hospital) fax number
(843) 520-8073
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Release of Information
Used for: Authorization for Release of Medical Information (ROI) to a designated recipient
Fax destination details
- Department
- Release of Information
- Purpose
- Authorization for Release of Medical Information (ROI) to a designated recipient
- Form
- Authorization for Release of Medical Information — Authorization for Release of Medical Information
- Address
- 606 Black River Road, Georgetown, SC 29440-3304; 4070 Highway 17 Bypass, Murrells Inlet, SC 29576-5033
- Voice phone
- 843-520-8404
- Website
- Visit organization website
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.
Complete patient identifiers, specify what information to release, designate the recipient, and sign/date. The authorization may be withdrawn by the patient as explained in Tidelands Health notices; this form is used to release medical records under HIPAA.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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