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.