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How to Ask For Your Medical Records

Instructions on asking for a copy of your medical records and accessing your records online through MyChart.

Instructions on asking for a copy of your medical records

To request a copy of your medical records, you will need to complete the form, Authorization for Release of Medical Information.

Read the entire authorization form and complete the following:

  • Patient name, address, phones numbers and date of birth
  • Information you are requesting to be released, including the UVA clinician’s name and the dates of the requested information
  • Person or organization to receive your medical record information (example: Dr. John Brown). If the information is for yourself, you will need to complete this section with your name and address. List the reason for requesting the release of your medical records. If it is for your own personal use, write “For Personal Use”.
  • Signature of Authorization to Release Confidential Healthcare Information
    • Your signature or a legal representative’s signature
    • Date of signature
    • If signed by a legal representative, a description of the representative’s authority to act in your behalf

Note the following

The authorization will be valid for 12 months from the date of signature. UVA Health System charges for copies of health information in compliance with Virginia statutes as follows:

  • Patients: $.50 per page for pages 1-50, $.25 per page for pages 51+, plus actual postage if mailed. Copies of records from 1999 and earlier are $1 per page.
  • All other requestors: As state and federal laws allow
  • Photo identification is required

Submit the completed form to the following:

UVA Health System
Release of Information, Health Information Services
P.O. Box 800476, Charlottesville, VA 22908
Fax 434.243.5995

Contact Health Information Services at 434.924.5136 with any questions.

Test Results

For medical tests results:

  • Call your primary care provider or the doctor who ordered the tests.
  • Check your MyChart account.

Your Secure Online Health Connection

MyChart is a free service available to all UVA patients. Similar to online banking, it's a convenient way for you to communicate with us wherever and whenever you need to - not just during office hours.

You can use MyChart to:

  • Request or see appointments
  • Communicate with your doctor's office
  • Request prescription renewals
  • View test results
  • Review information from previous visits
  • Enter, access or view your personal medical history

Signing Up Is Easy

Go to to find out more and get started.

We also offer proxy access (access to MyChart by someone other than the patient).

Need Help?

Call 434.243.2500 or email for assistance.