How Can I Get a Copy of my Medical Records?
As a patient of Little River Medical Center, you have a right to inspect and/or request a copy of your medical records or have copies of your medical records sent to another facility.
We require a completed and signed Authorization for the Release of Information before releasing any documents. In certain cases, a patient’s physician may also be required to approve a request.
If the request is for a minor child (person under 18 years of age) the parent/legal guardian must sign and date the form.
You can fax, email or personally deliver your Authorization for the Release of Information form.
Please allow up to 30 days to process your request. We are unable to accommodate walk-in requests.
If you are requesting medical records to be sent to another hospital or provider’s office, please be sure to include the name of the provider, telephone number, address and fax number of the office where the records are to be sent.
We are unable to fax records to individual patients. Medical records released to individuals must be picked up in person. Medical records released to another provider will be electronically sent directly to that facility.
You may download and print a copy of the Authorization for the Release of Information Form. Download Form
To submit via mail, send your completed form to:
Little River Medical Center
PO Box 547
Little River, SC 29566
To submit via email, send your completed form to: email@example.com
To submit via fax, send your completed form to 855.711.0315