Medical Records & Forms

Medical Records & Patient Forms

For all medical record requests, please email or call.

Email: medicalrecords@lowcountryurgentcare.com

Phone: 843-580-2414

Fax: 843-625-6092

Please download, print, and complete the physical and medical release forms. Please bring these with you to your upcoming appointment. If you have any questions please contact us.

Sports Physical Form

Consent for Release of Medical Information

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