To request medical records, please print and complete the following forms. Once completed, please include a copy of your drivers license or photo id and submit via fax, mail, or drop off in person in any of our locations.


By Fax: (843) 725-3888


By Mail:

Charleston Ear, Nose, Throat & Allergy

Medical Records Department

2295 Henry Tecklenburg Drive

Charleston, SC 29414

PDF Icon Medical Records Request Form Click to Download