Medical Records
To receive a copy of your medical record, print out and complete our authorization form and either mail it or fax it to the hospital or facility where you received service. Appropriate address and fax numbers are listed below. For other questions about medical records, please call the phone number below at the location where you received service.
Authorization to Release/Disclose Protected Health Information – English
Authorization to Release/Disclose Protected Health Information – Spanish
Inova Alexandria Hospital
703-504-3410
Fax: 703-504-3411
Mailing address:
Medical Record Department, 4320 Seminary Rd, 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 Dr, Fairfax, VA 22033
Inova Fairfax Hospital, Inova Fairfax Hospital for Children, Inova Heart and Vascular Institute
Access of Fairfax, Access of Reston, and Inova HealthPlex
703-776-3307
Fax: 703-776-6456
Mailing address:
Medical Records, Attn: Release of Information, 3300 Gallows Rd, Falls Church, VA 22042
Inova Mount Vernon Hospital
703-664-7123, option 2
Fax: 703-664-7543
Mailing address:
Medical Records, 2501 Parker’s Lane, Alexandria, VA 22306
Inova Loudoun Hospital
703-858-6625
Fax: 703-858-6622
Mailing address:
Medical Records, 44045 Riverside Parkway, Leesburg, VA 20176
Inova Surgery Center at Countryside (ISCC)
703-444-6060
Fax: 703-444-2278
Mailing address:
Medical Records, 4 Pidgeon Hill Drive, Sterling, VA 20164
