Medical Records Release Forms
 
 

We are pleased to be able to offer you the ability to request your medical records online. We make it fast and easy for you to forward your records to another physician, or arrange to pick them up from our office. When your records have been sent or are ready to be picked up, we will notify you.

If you have any questions about this release form or the status of your request, please contact us at the practice directly.

  • To request your medical records or mammography films be sent to another practice, or to copy or inspect your records, click here.
  • To request that your medical records be sent from another practice to Virginia Women's Center, click here.
  • To request your mammography films be sent to our office, click here.