Records Request

Need a copy of your medical record, or need us to submit your record to another party? Records can be printed, sent by fax, or copied onto a CD. Depending on the request there may be a fee based on the number of pages. If a fee will apply, we will contact you for confirmation before copying the records.

Download the Records Request fillable PDF from the link below. You can email the completed form to our secure inbox reception@nrveye.com, print it and bring into our office, or fax it to 540-382-8980 (if busy, 540-381-8680).