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:

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.