We will gladly release your medical records, but we’ll first need your written authorization. ┬áPlease print and complete the following form:

Authorization for Release of Medical Records

If you are unable to print this form from your computer, please call us at 804-285-2300, ext 105. We will be glad to mail a form to you.

Once completed, you can mail, fax, or hand-deliver the authorization form to us:

By mail
Tuckahoe Orthopaedics
Medical Records Department
P. O. Box 71690
Richmond, VA 23255-1690

By fax
Fax: 804-527-1824