Request Medical Records

To request a copy of your medical records, download the Release of Information form (see below) and fax or mail it to the appropriate facility. Please be advised there may be a cost involved for this service.

-Release of Information form
-Release of Information form (Spanish version)

Veterans, Share your Medical Information With Us
. Download the VLER Health Program Factsheet.

Fax or mail completed form to:

St. Mary's Hospital
5801 Bremo Road
Richmond, VA 23226
Fax: 804-673-9561

Memorial Regional Medical Center
8260 Atlee Road
Mechanicsville, VA 23116
Fax: 804-764-6324

Richmond Community Hospital
1500 N. 28th Street
Richmond, VA 23223
Fax: 804-225-7359

St. Francis Medical Center
13710 St. Francis Boulevard
Midlothian, VA 23114
Fax: 804-673-9561

Maryview Medical Center
3636 High Street
Portsmouth, VA 23707
FAX: 757-398-2241

Mary Immaculate Hospital
2 Bernadine Drive
Newport News, VA 23602
FAX: 757-886-6814

DePaul Medical Center
150 Kingsley Lane
Norfolk, VA 23505
FAX: 757-889-5913

Rappahannock General Hospital
101 Harris Road
Kilmarnock, VA 22482
FAX: 804-435-0467