Request Your Medical Records

Obtaining a copy of your Sentara RMH Medical Center medical record is easy. To start your request, simply print, complete and sign the Authorization for Release of Information form and mail or fax it back to us.

Please complete each section of the form and include your signature and date. Unsigned or incomplete forms cannot be processed. If you are bringing your completed form, please remember to bring photo identification. If you are bringing a completed form for someone other than yourself, (i.e. spouse), please make sure the authorization indicates you as the party to whom we should release the record. If you are a legal guardian, please bring the appropriate court documents pertaining to your legal guardianship with you. 

Copy Restrictions

There is a fee for copies based on the number of pages.

Please send the completed form to: 

Health Information Management
Attention: Release of Information
2010 Health Campus Drive
Harrisonburg, VA 22801
Phone: 540-564-7275
Fax: 540-564-7274

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