Request Copy of Medical Records

To request copies of your Medical Records from McLeod Health, please complete our Authorization Form.

Remember to sign and date form.

If the request is for a minor child (person under 18 years of age) the parent/legal guardian must sign and date the form.

Then, fax, mail or email the completed form to the appropriate Medical Records Department.

For questions, please call the appropriate Medical Records Department as shown below.

Please make sure you provide the address, email address or fax number where the copies of the medical records should be sent, and your telephone number.

If you are requesting medical records to send a physician’s office, please call appropriate office below and provide name of the physician or write the physician’s name and address on the line above Recipient Name and Address. We will contact the physician’s office and find out exactly what information they need from your medical records before sending.

Send all Email requests to:


McLeod Regional Medical Center
Phone 843-777-2204
Fax 843-777-5256
Mail To: Medical Records Department, 555 East Cheves Street, Florence, SC 29506

McLeod Health Cheraw
Phone: 843-320-5547
Fax: 843-320-3483
Mail To: Medical Records Department, 711 Chesterfield Highway, Cheraw, SC 29520

McLeod Health Clarendon
Phone 803-435-3288
Fax 803-435-3233
Mail To: Medical Records Department, 10 East Hospital Street, Manning, SC 29102

McLeod Health Dillon
Phone 843-487-1356
Fax 843-487-1388
Mail To: Medical Records Department, 301 East Jackson Street, Dillon, SC 29536

McLeod Health Loris
Phone 843-716-7507
Fax 843-716-7510
Mail To: Medical Records Department, 3655 Mitchell Street, Loris, SC 29569

McLeod Health Seacoast
Phone 843-390-8238
Fax 843-390-8241
Mail To: Medical Records Department, 4000 Highway 9 East, Little River, SC 29566