Medical Records Requests
Patients requesting billing or medical records please complete this Medical Record Release Authorization form.
Caregivers requesting medical records on behalf of the patient must be designated as the patient’s official power of attorney (POA). The POA should complete the Medical Record Release Authorization form and must provide the signed POA form.
- Send the completed and signed release request, along with the POA form (if applicable) to [email protected] or mail the request to:
MedStar VNA, Central Maryland Agency
9601 Pulaski Park Dr.,
Baltimore, MD 21220
Attorneys, physician offices, insurance companies, etc. may e-mail their medical records requests along with a signed patient Medical Release Authorization to [email protected]. An agent will be in touch with you if further information is needed.