Requesting Medical Records
A patient, parents of minor patients or caregivers acting on the behalf of a patient (i.e.Healthcare Power of Attorney), may inspect and/or obtain a copy of their medical records, or have copies of medical records sent to another provider or facility.
Carolina Pines Regional Medical Center requires a completed and signed Release of Information Authorization Form before releasing any documents to anyone, including the patient. If you have questions about this process, please feel free to contact our Health Information Management department directly at 843-339-4579.
- In-Person Request: Complete a Release of Information Authorization form at Carolina Pines Regional Medical Center during normal business hours, Monday-Thursday 8am – 5pm and Friday 8am – 2pm. A photo ID is required for the release of medical records.
- Phone Request: Call 843-339-4579.
- Fax Request: Print Release of Information Authorization Form from the link below, complete the form and fax to 843-339-4580 or email it to CPRMCROI@mrocorp.com.
Release of Information Authorization Form (English) Release of Information Authorization Form (Spanish)
If you have questions on how to fill out the request form, please call 843-339-4579.