VA Providence Healthcare System
Request Your Medical Records
Release Of Information
The Release of Information Office is located in the basement of the Ambulatory Care Building in Room D011
(401) 273-7100 ext. 3481, 3482, & 3485
Monday through Friday
8:00 a.m. to 4:30 p.m.
Our Release of Information staff will be happy to assist you with requests for your medical records and are experts in our patients' rights and their health records. We also assist providers with completing forms for patients.
We can assist you with the following:
- access to your medical records
- obtaining copies of your medical records
- requests to amend your medical records
- completion of forms for benefits, insurance, and other reasons
- Notary Public Stamps
- In-Person Authentication to My HealtheVet
How to Request Information
To request a copy of your medical record, please complete one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to the following address:
Providence VA Medical Center
Health Information Management Section (HIMS)
830 Chalkstone Avenue
Providence, RI 02908
Because forms must contain an original signature, e-mailed or faxed forms cannot be accepted.
Requests for records will take approximately 10 days to process.
There is no cost to send copies directly to another health care provider. If copies are for a patient's personal use, photocopying fees may be assessed.