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Medical Records

Welcome to Andrew Rader Health Clinic Medical Records

 

 

Information:

  • Must be prime to this facility before submitting a request.
  • All requests must be done in person. This office does not fax medical information (unless it is an emergency) or receive emails regarding patient information. 
  • Request on the behalf of any individual over the age of 18 must have and show proper documentation before request is submitted. (i.e., power of attorney)
  • All requests for copies of medical records for retirement should be submitted as early as six months or no later than 45 business days prior to final out processing.

Services Available

Services Available:

  • Medical Records Duplication
  • Release of Medical Information

Required Forms

DD Form 2870:

Release of Medical Information. Fill out this form to request a copy of your medical record and fax to Medical Records. Include a front and back copy of your picture ID with the faxed request. Faxing the request is possible but it is preferred that requests are made in person due to poor picture quality when faxed.

DD Form 877:

This form is used to request the paper record that is kept in the colored medical records jacket in order to get the medical record transferred from one military treatment facility to another upon PCS moves.

  • The gaining unit’s address information is placed in the Return To: section at the bottom left of the form.
  •  The losing unit’s address and contact information is placed in the To: section in the upper left hand corner of the form.
  •  Family member’s information can be written in block #9 in order to get those records sent. The requestor will sign block #10.

Examples:

Click on the links below to view an examle of how to properly fill out the required forms.

DD Form 2870

DD Form 877

General Information

Hours of Operation

Monday – Friday 07:30-16:00

Closed Weekends and Federal Holidays

Closed Every third Wednesday of each month for training from 12:00-14:00.

 

Contact Information

Front Desk:       (703) 696-7984

Fax Number:     (703) 696-3468

 

Location

401 Carpenter Road

Fort Myer, VA 22211

1st floor of Bldg 525 (across from Pharmacy)

Forms

Download:
 
  • DD Form 2870 click HERE
  • DD Form 877 click HERE

Medical Records Webpage QR Code