To Request Medical Records From a Bon Secours Virginia Facility

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 UsDownload 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: 804-639-5193

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:  757-889-5193


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