Inova Children's Hospital

Make a request To receive a copy of your medical record, print out and complete our authorization form below and mail or fax it to the hospital or facility where you received service. Appropriate address and fax numbers, along with a contact number for more information, are listed further below on the page. Authorization to Release/Disclose Protected Health Information forms Inova Alexandria Hospital and Inova Healthplex – Franconia/Springfield Fax: 703-504-3411 Mailing address: Medical Records Department, 4320 Seminary Road, Alexandria, VA 22304 Inova Fair Oaks Hospital Fax: 703-391-3058 Mailing address: Medical Records, Attn: Release of Information, 3600 Joseph Siewick Drive, Fairfax, VA 22033 Inova Fairfax Hospital, Inova Children's Hospital, Inova Heart and Vascular Institute, Inova Emergency Care Center – Fairfax and Inova Emergency Care Center – Reston/Herndon Fax: 703-776-6456 Mailing address: Medical Records, Attn: Release of Information, 3300 Gallows Road, Falls Church, VA 22042 Inova Mount Vernon Hospital , option 2 Fax: 703-664-7543 Mailing address: Medical Records, 2501 Parkers Lane, Alexandria, VA 22306 Inova Loudoun Hospital Fax: 703-858-6622 Mailing address: Medical Records, 44045 Riverside Parkway, Leesburg, VA  20176 Inova Medical Group Fax: 571-665-6680 Email: Birth certificates If you need a copy of an existing birth certificate, please contact the Virginia Department of Health, Office of Vital Records. All the details are provided on their website at .