To receive a copy of your medical record, print out and complete our authorization form and mail or fax it to the hospital or facility where you received service. Appropriate address and fax numbers are listed below. For other questions about medical records, call the phone number below at the location where you received service. 

Authorization to Release/Disclose Protected Health Information – English

Authorization to Release/Disclose Protected Health Information – Spanish

Inova Alexandria Hospital
703-504-3410
Fax: 703-504-3411
Mailing address:
Medical Record Department, 4320 Seminary Road, Alexandria, VA 22304

Inova Fair Oaks Hospital
703-391-3829
Fax: 703-391-3058
Mailing address:
Medical Records, Attn: Release of Information, 3600 Joseph Siewick Drive, Fairfax, VA 22033

Inova Fairfax Hospital, Inova Fairfax Hospital for Children, Inova Heart and Vascular Institute 
Access of Fairfax, Access of Reston, and Inova HealthPlex
703-776-3307
Fax: 703-776-6456
Mailing address:
Medical Records, Attn: Release of Information, 3300 Gallows Road, Falls Church, VA 22042

Inova Mount Vernon Hospital
703-664-7123, option 2
Fax: 703-664-7543
Mailing address:
Medical Records, 2501 Parker’s Lane, Alexandria, VA 22306

Inova Loudoun Hospital
703-858-6625
Fax: 703-858-6622
Mailing address:
Medical Records, 44045 Riverside Parkway, Leesburg, VA 20176

Inova Surgery Center at Countryside (ISCC)
703-444-6060
Fax: 703-444-2278
Mailing address:
Medical Records, 4 Pidgeon Hill Drive, Sterling, VA 20164