Request Your Medical Records

To receive a copy of your medical record, print out and complete our authorization form. Then mail or fax the completed form, with a copy of an official ID that includes your signature, to the department listed below. If you have further questions about your medical records or health information, please contact us at the number below.

Mailing Address:
Health Information Management
Attention: Release of Information
2300 Opitz Boulevard
Woodbridge, VA 22191

Phone: 703-523-1930
Fax: 703-670-0370

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