Medical Records

Welcome to Adventist Medical Group (an affiliate of the The GW Medical Faculty Associates) Release of Information Request page. For a list of our frequently asked questions, please click here.


Please follow these important steps:


  1. To request a copy of your outpatient records, you’ll need to click here to download the form authorizing The GW Medical Faculty Associates to release your medical records.
  2. Complete all fields on the authorization form(s).
  3. After you complete, sign and date the authorization form(s), you can either
    1. Fax the completed form(s) to 202.741.2405 or 202.741.2431
    2. Or mail the form(s) to this address:
    1. Patients Walk-In/Mail Requests to:
      2150 Pennsylvania Ave, NW Suite G-206 
      Washington, DC 20037 
      Phone: 202.741.2768
      Fax: 202.741.2431

      You may request your records be mailed back to you or feel free to arrange to pick them up from the address above. However, to ensure patient privacy medical records will NOT be faxed.


    2. Physicians Mail Requests to:
      3811 North Fairfax Dr., Suite 1000
      Arlington, VA 22203
      Phone: 703.302.1141
      Fax: 202.741.2431


    3. Insurance Mail Requests to:
      3811 North Fairfax Dr., Suite 1000
      Arlington, VA 22203
      Phone: 703.302.1038
      Fax: 202.741.2431


    4. Law Firm or Agent Mail Requests to:
      3811 North Fairfax Dr., Suite 1000
      Arlington, VA 22203
      Phone: 703.302.1144
      Fax: 202.741.2431


    5. For Other Requests or Inquiries:
      3811 North Fairfax Dr., Suite 1000
      Arlington, VA 22203
      Phone: 703.302.1142
      Fax: 202.741.2431


The average turnaround times for requests are:


Request TypeProcessing Time
Patient5-7 Business Days
Disability7-14 Business Days
Legal7-14 Business Days
Insurance10-14 Business Days
Continuation of Care, Physicians Office, Clinics3-5 Business Days

 


Thank you for trusting Adventist Medical Group with your health care.


FREQUENTLY ASKED QUESTIONS




Downloads
Authorization to Release Protected Health Information


Authorization for Disclosure or Access of Protected Health Information