Requesting Your Records
Potomac Valley Orthopaedic Associates is happy to provide you with a copy of your medical records and/or X-ray images. However, there may be a charge for duplicating your medical records. The State of Maryland regulates fees for copying records.
Currently, the established fees for copies are:
- $22.88 base fee (not charged to patients) plus
- $0.76 per page
- $10 to copy films onto a CD
- The actual cost of shipping.
- There is no charge for sending records to another physician as part of your continued medical care.
- $5.00 for an itemized billing statement
To protect your privacy, you MUST submit a signed Medical Release Authorization form ("HIPAA Patient Authorization Form"). For your convenience, you may download and print the form below. Please send the completed and signed authorization form by mail or fax. If you pick up your records in person, be prepared to show your photo ID.
Our Medical Records Department will process your request in the order received, which may take up to 30 days. If fees apply, a Medical Records Department Representative will contact you. For your convenience, we offer an option to pay with a debit or credit card if picking up records.
Our Medical Records Department staff is dedicated to outstanding customer service. As such, we will make every effort to fulfill your request for records promptly. Please feel free to contact us if you have any questions. Thank you.
Contact Medical Records Department:
Phone: (301) 774-0501 ext. 1122
Fax: (301) 774-8226