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Medical Records Request

Make a Request

To receive a copy of your medical record, print out and complete our authorization form below and mail or fax it to the hospital or facility where you received service. Appropriate address and fax numbers, along with a contact number for more information, are listed further below on the page.

Authorization to Release/Disclose Protected Health Information Forms

Requests by Location

Inova Alexandria Hospital and Inova Healthplex – Franconia/Springfield

703-504-3410
Fax: 703-504-3411
Mailing address:
Medical Records 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 Children's Hospital, Inova Heart and Vascular Institute, Inova Emergency Care Center – Fairfax and Inova Emergency Care Center – Reston/Herndon

703-776-3307
Fax: 703-776-6456
Mailing address:
Medical Records, Attn: Release of Information, 3300 Gallows Road, Falls Church, VA 22042

Inova Loudoun Hospital

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

Inova Medical Group

Inova Mount Vernon Hospital

703-664-7123, option 1
Fax: 703-664-7543
Mailing address:
Medical Records, 2501 Parkers Lane, Alexandria, VA 22306

Birth Certificates

If you need a copy of an existing birth certificate, please contact the Virginia Department of Health, Office of Vital Records. All the details are provided on their website at www.vdh.virginia.gov/vital_records/.

Related Locations