Instructions:
1) Click the link below to open the form in a new window.
2) Print the form.
3) Mail the completed form to:
Medical Records/HIM
Conway Medical Center
300 Singleton Ridge Road
Conway, SC, 29526
Fax: 843-347-0647
Fax for Legal and Insurance for hospital: 843-347-1509
Fax for Legal and Insurance for Clinics: 843-347-1517
The Conway Medical Center Foundation is dedicated to improving the quality of life of all individuals in the Conway Medical Center service area.
The Conway Medical Center Family Medicine Residency Program is sponsored by Campbell University and is accredited by the American College of Graduate Medical Education.
CMC is the official orthopedic and sports medicine provider for all Chanticleers athletic programs. We are also CCU’s Premier Medical and Innovation Partner with the CMC College of Health and Human Performance.