Saturday, August 19, 2017

Patient Care Records

​Horry County Fire Rescue Department strictly follows patient privacy laws 

How to obtain a copy of a Patient Care Record

Patients as well as parents or guardians of minor patients may receive a copy of their patient care record (PCR) in person at the business office at 2560 N Main St., Conway, SC.

Required:
Alternatively, patients may receive a PCR copy via mail by sending a Notarized Authorization for Release of Patient Record form via U.S. Mail.


Legal Designee of Patient may receive a copy of the PCR in person at the business office with a legal document granting authority. Family relationship does not qualify as legal designee of patient.

Required:
Alternatively, a designee may receive a PCR copy via mail by sending a Notarized Authorization for Release of Patient Record form via U.S. Mail and a photo copy of the legal document granting authority.


Law Offices may receive a copy of a PCR with a Notarized Authorization for Release of Patient Record form. Also acceptable is a signed release from patient with HIPPA approved forms. Law offices may pick up in person or via U.S. Mail. Faxes are not accepted.


Judge-Signed Papers (court orders, warrants, etc.) allow release of PCR without other documentation.


Horry County Fire Rescue Administration
2560 N. Main St
Suite 1
Conway, SC 29526
843-915-5190

Documents:

Authorization for Release of Patient Record

Notice of Privacy Practices
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