We will gladly release your medical records. We will need your written authorization to do this.
Complete our authorization form
If you are unable to print this form from your computer, please call us at (804) 330-4021, option 6. We will mail the form to you. You can also pick up a form at one of our offices.
Send this form to our Medical Records Department
RGA Medical Records Department
223 Wadsworth Drive
N. Chesterfield, VA 23236
Attention: RGA Medical Records Department
You can drop off this form at any of our offices.
- You should allow at least 15 days for your request to be processed.
- If you pick-up your medical records in person, you will be asked to show a photo ID.
- There may be a small charge for this service.