Important Documents

 

There is a fee for Medical Records. Winchester Pediatric Clinic PC uses a third-party company, CIOX Health a Datavant Company, to prepare you medical records. Virginia Law permits a charge for personal copy/transfer of your records. CIOX Health a Datavant Company has been contracted to provide this service and will invoice you directly. Virginia Rates are $0.09 per page, plus actual postage, supply costs, and labor costs. Electronic delivery portion, if possible, is a flat rate of $6.50. Plus applicable sales tax.

Medical Record Release Form

HIPAA Privacy Notice