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Medical Records Request – SAPRA Transition

When a physician practice ceases operation in the state of Virginia, patients are responsible for finding another physician to take over their care. To make that process easier for you, we have included a list of practices that are accepting new patients along with their contact information. This is list does not contain every possibility. You are not required to use this list and may select another provider of your choosing.

Once you have identified a new provider, our team will be happy to help facilitate the safe and effective transfer of care. We are also happy to provide you or your new provider with a copy of your medical record free of charge.

To request a copy of your medical record or the transfer of your record, please complete and submit the attached records release authorization. If you do not transfer your records by October 31, 2021, then your records will be held by Sheltering Arms Corporation, as the custodian of record for SAPRA. These records will be maintained in accordance with applicable law and will be available to you upon request.

Download the medical records release form below:

When you have completed the form above, please submit it via FAX to (804) 342-4185

To verify your form submission has been received or for more information about our medical records release authorization process, please call (804) 342-4187

To view the List of Provider Options, click here.

To view the Patient Letter, click here.