OrthoVirginia Patient Center


Request for Medical Records Release Form [ download ] PDF

Forms Policy [ download ] PDF

To request medical records, please complete this form completely and mail, fax, or bring this form back to:

Attn: Health Information Department/Medical Records
2405 Atherholt Road
Lynchburg Virginia 24501
Fax: 434-485-8599

If you have any question please do not hesitate to contact the health information department at 434-485-8536.

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