To initiate your request, please complete each section of the Authorization for Disclosure of Health Information Form. Please make sure you have specific instructions included as to what records you are requesting and where you are requesting they be sent. You also have a choice of how you would like to have your records delivered. For records to be delivered directly to you, please choose mail or email. For records to be delivered to another doctor, please choose fax or mail. Please select only one option. Please note that the fax delivery option may only be used for records going to a doctor.
Below are the three ways to submit your completed Authorization for Disclosure of Health Information Form to OrthoSC.
- Fax your request to (843) 236-3005. If you choose this option, please include a copy of your driver's license.
- Mail or drop-off your request to:
- Attn: Medical Records
- 210 Village Center Blvd, Suite 200
- Myrtle Beach, SC 29579
For records being sent to another healthcare providers, please provide as much contact information as possible, including the address, phone number, and fax number.
For questions or status inquiries, please call (854) 854-9900.