Please note that State and Federal laws permit fees to be charged for copies of medical records that are not for continuation of care.
Option 1: Electronic Request for Records
Sentara now offers an Online Patient Record Request tool for the following individuals to request patient records:
- Patients requesting their own records
- Patient requesting their own records to be sent to someone else
- Parents of minor patients requesting records
- Caregivers acting on behalf of a patient (i.e. Power of Attorney)
The Online tool verifies your identity by asking for a photo of your driver's license or Government issued identification, which can be taken via webcam or smartphone. There is no additional charge to use this service.
Please note: Chrome, Safari and Firefox are the recommended browsers for this application.
- OR -
Option 2: Fax or Mail Requests for Records
To receive a copy of your medical record, print out and complete our authorization form. Please fax or mail the completed authorization form to the appropriate location below. Please make sure to provide your full name, date of birth, the specific records needed, and how you want the records to be delivered to you. In order to receive your medical records electronically, please provide your current email address.
Forms:
- Sentara Healthcare: Authorization to Disclose Protected Health Information
- Sentara Healthcare en Espanol: Autorización para Divulgar Información Médica Protegida
For all Southside Hospitals:
Sentara Norfolk General, Sentara Leigh, Sentara Princess Anne and Sentara Virginia Beach fax or mail authorizations to:
Health Information Management
Attention: Release of Information
824 North Military Highway, Suite 100
Norfolk, Virginia 23502
Phone: 757-507-7110
Fax: 757-995-7366
For all Peninsula Hospitals:
Sentara CarePlex Hospital, Sentara Obici Hospital and Sentara Williamsburg Regional Medical Center fax or mail authorization to:
Sentara CarePlex Hospital
Health Information Management
4000 Coliseum Drive, Suite 450
Hampton, VA 23666
Phone: 757-827-2424
Fax: 757-822-6208
Fax or Mail authorization to other Sentara Healthcare locations:
Sentara Albemarle Medical Center
Health Information Management
1144 N. Road Street
Elizabeth City, NC 27909
Phone: 252-384-4609
Fax: 757-648-8534
Sentara Halifax Regional Hospital
Health Information Management
2204 Wilborn Ave.
South Boston, VA 24592
Phone: 434-517-8111
Fax: 757-648-8310
Sentara Martha Jefferson Hospital
Health Information Management
500 Martha Jefferson Drive
Charlottesville, VA 22911
Phone: 434-654-7650
Fax: 757-938-5751
Sentara Northern Virginia Medical Center
Health Information Management
2300 Opitz Blvd.
Woodbridge, VA 22191
Phone: 703-523-1930
Fax: 757 648 8209
Sentara RMH Medical Center
Health Information Management
2010 Health Campus Drive
Harrisonburg, VA 22801
Phone: 540-564-7275
Fax: 844-305-9609
For SMG practices, Home Health and Hospice fax or mail authorization to:
Health Information Management
Attention: Release of Information
824 North Military Highway, Suite 100
Norfolk, Virginia 23502
Phone: 757-507-7110
Fax: 757 995-7366