Request for Medical Records

To request a copy of your medical records, download the Release of Information form and fax or mail it to the appropriate facility. Please be advised there may be a cost involved for this service.

Release of Information form

Fax or mail completed form to:
Rappahannock General Hospital
Attn: Medical Records
PO Box 1449
Kilmarnock, VA 22482
Fax: (804) 435-0467
Call (804) 435-8550 for assistance.