OrthoVirginia Patient Center

Northern Virginia

Statement of Practice Policies

This notice describes how medical information about you may be used and disclosed in accordance with federal law and how you can access your information. This notice also describes our policies and procedures regarding your financial obligations to the practice. Please click here to view.
 

Visit MyChart to obtain patient forms

 

OrthoVirginia has partnered with Sharecare for your medical record needs!

Sharecare is committed to providing the highest levels of Quality, Professionalism, Integrity and Responsiveness.

To initiate your Request, please complete each section of the Authorization for Disclosure of Health Information form. This form will be delivered promptly to a Sharecare representative for processing.

For questions or status inquiries, contact Sharecare customer care at 877-270-4365


 

Request for Medical Records Release Form [ download PDF
 



To request your medical records from OrthoVirginia, please complete the authorization form above and either mail or fax to listed information below.

Any questions about your request or invoice can be answered by calling Sharecare Imaging at (877) 270-4365

Forward request to:

OrthoVirginia
Attn: Medical Records Dept.
11240 Waples Mill Road, Suite 100
Fairfax, VA 22030
Fax: 703-810-5317