All Medical Record Requests will be reviewed within 48 business hours and completed within 10 business days.
Medical Records that will be going to another provider will not incur a fee.
Medical Records that will not be going to another provider will incur a $ 25 fee; if you need your medical records expedited (within 10 business days), there will be an additional $ 20 fee.
Payment must be made prior to the release of the copied records; we accept payment by phone with credit card, or payment may be made at the office with credit card, check or cash.
To Request Copies of Your Medical Records
1. Download and Print our Authorization for Release of Information
2. Return completed and signed release to :
Fairfax Colon & Rectal Surgery, PC
Attn: Medical Records
2710 Prosperity Ave Ste 200