How to Request your Medical Records

Please see the options below for quick and easy ways to request your medical records. We are dedicated to treating your medical information in compliance with federal and state requirements.

Electronic Form

Our electronic submission form allows for the fastest processing. The medical record information release (HIPAA) form allows a patient to give authorization to a third party and access their health records. The release also allows the added option for healthcare providers to share information.

  1. Download the PDF
  2. Fill out the form
  3. Send an email to with the PDF as an attachment.


Alternatively you can download a copy of this form and mail it to:

Privia Medical Records
950 Glebe Road
Suite 700
Arlington, VA

Please allow up to 30 days for mailed requests. If you have questions, please email