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.
Veterans, share your medical information with us
Fax or mail completed form to:
Ashland, KY
To obtain copies of medical records please call 866-625-7130, fax 678- 710-7032 or email 60181_Our_Lady_Bellefonte_Hospital@cioxhealth.com.
To have your medical records sent to a provider of your choice, a record release form will need to be completed. Your medical records will be available to you for several years beyond OLBH’s closure.
Please send requests for changes or corrections to your medical records (amendments) to:
privacyoffice@bsmhealth.org
Privacy
Bon Secours Mercy Health
1701 Mercy Health Place
Cincinnati, OH 45237
Richmond, VA
Memorial Regional Medical Center
8260 Atlee Road
Mechanicsville, VA 23116
804-764-6427
Fax: 804-764-6324
Richmond Community Hospital
1500 N. 28th Street
Richmond, VA 23223
804-225-1778
Fax: 804-764-6324
Rappahannock General Hospital
101 Harris Road
Kilmarnock, VA 22482
804-435-8550
Fax: 804-435-0467
Southside Regional Medical Center
200 Medical Park Blvd
Petersburg, Virginia 23805
804-765-5760
Fax: 804-765-5766
Southern Virginia Regional Medical Center
727 N Main St
Emporia, Virginia 23847
434-348-4420
Fax: 434-348-4932
St. Francis Medical Center
5801 Bremo Road
Richmond, VA 23226
804-281-8135
Fax: 804-673-9561
St. Mary's Hospital
5801 Bremo Road
Richmond, VA 23226
804-281-8135
Fax: 804-673-9561
Hampton Roads, VA
Bon Secours DePaul Medical Center
150 Kingsley Lane
Norfolk, VA 23505
Health Information Management Department
Hours: 8 am to 4:30 pm, Monday through Friday
757-889-5266, option #1
Fax: 757-889-5913
Bon Secours Mary Immaculate Hospital
2 Bernardine Dr.
Newport News, VA 23602
Health Information Management Department
Hours: 8 am to 4:30 pm, Monday through Friday
757-886-6560, option #1
Fax: 757-886-6814
Bon Secours Maryview Medical Center
3636 High St.
Portsmouth, VA 23707
Health Information Management Department
Hours: 8 am to 4:30 pm, Monday through Friday
757-398-2250, option #1
Fax: 757-398-2241
Southampton Memorial Hospital
100 Fairview Dr
Franklin, Virginia 23851
757-516-1104
Fax: 757-569-6122
Greenville, SC
St. Francis Downtown
1 St. Francis Drive
Greenville, SC 29601
864-255-1375
Fax: 864-255-1644
St. Francis Eastside
125 Commonwealth Drive
Greenville, SC 29615
864-675-4269
Fax: 864-675-4279
Medical records will not be released without a written authorization. To authorize us to forward a copy of your medical record directly to a physician, you must complete the Authorization to Release Protected Health Information form, which is available from our offices.