Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Retina Institute of Virginia, PLLC before sending sensitive documents. FaxFlow is not affiliated with this organization.
Retina Institute of Virginia, PLLC fax number
(804) 644-8224
Medical Records
Used for: Medical records release requests (Authorization to Release Healthcare Information)
Fax destination details
- Department
- Medical Records
- Purpose
- Medical records release requests (Authorization to Release Healthcare Information)
- Form
- Authorization to Release Healthcare Information
- Address
- 8720 Stony Point Pkwy, Suite 105, Richmond, VA 23235
- Voice phone
- 804-644-7478
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fill patient name and date of birth, physician/practice, recipient details, and the specific records to release; sign and date; the form expires one year from the signature date.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.