Medical Records
To receive a copy of your medical record, you must submit a written request to the Health Information Management Department (HIM). A letter or authorization form signed by the patient or parent (if the patient is under 18 years of age) must accompany all requests for release of information. Download a copy of the medical request form here:
Medical Records Request
Processing time for requests is 10 - 15 business days from the date your request is received.
Charges:
- $.50 for 1- 50 pages
- $.25 for 51+ pages
- $1.00 per page for microfiche records
- postage fees
Your request must include the following:
- Virginia Hospital Center as addressee
- Patient's full name
- Patient's date of birth
- Hospital visit dates for information being requested
- Purpose of request
- Name and address of facility or person to receive the medical record copies
- Patient signature (or signature of patient's legal guardian, if the patient is under 18 years of age)
- Date of request
- Daytime phone number
Send the completed letter or authorization form to:
Virginia Hospital Center
1701 North George Mason Drive
Arlington, Virginia 22205
Attn: Health Information Management Department
Birth certificates must be obtained from Department of Vital Records in Richmond. Please contact Vital Records directly at
804.662.6200 or at the following Internet address: www.vdh.state.va.us
To contact the Health Information Management Department please call
703.558.6116.