Your child's medical record is housed at one of our two offices. You are strongly encouraged to have the child's
record located at the office at which you receive the majority of your family's care.
A Release for Medical Record Transfer Form must be completed in order to have your child's medical record
copied and forwarded to another physician. This form may be completed at either office or printed from this page.
If you download from this site, you can either fax or mail the form to our office. We require two weeks to
copy and forward your chart to the new physician.
We are happy to supply you with a copy of your child's immunization record and last physical exam free of charge. All other copying of charts is subject to our charges for Medical Records.
If you have transferred to another practice or have not been seen at our office in over
two years, your child's chart is transferred to our storage area. The complete original
chart will be kept in storage until the time that your child reaches twenty-five years of age.
If your child's record has been forwarded to our storage area, it may take several additional
days to have copies or forms completed and will require a $25 charge to have the storage facility pull
and transport the chart.
Virginia law requires that licensed daycare providers and schools maintain current medical information on all children attending their facility. These are typically known as the state blue forms. Other organizations such as camps, sport clubs, and school teams may require certain paperwork be completed prior to your child's participation. Please be aware that we require two business days to complete all forms of this type.
Also, check the form carefully to determine the requirement for the child's last physical exam. Many of the school sports teams require that the child's physical exam have been done between the months of May and August. Likewise, the Virginia State Form (blue form) requires that the child have had a check-up within the past twelve months. If your child does not meet the specific form requirements, you will need to make an appointment to complete all necessary screenings or vaccinations prior to our completing the form.