Request A Referral

  • If you would like to sign up for FollowMyHealth please contact the office and ask for a patient portal invite or fill out the form below.
  • TRANSFERRING RECORDS TO RVA PEDIATRICS:

    We are so excited to welcome your family to our practice!



    • You may also request the records directly from your previous practice if you wish to do so.
  • TRANSFERRING OUT OF RVA PEDIATRICS:

    We are sorry to see your family go...


    RVA Pediatrics wishes you the best and wants to make this process as seamless as possible.


    • When you have chosen a new provider, download, complete, and provide us with the Medical Records Release Form. This form can be found here.

    • You may drop off the medical records release form at any of our offices or you may fax the form to:  804-754-0880.

    •  We kindly ask for 7-10 business days to process requests. Our medical records are sent to the recipient on a CD disc. Beginning on May 1, 2023, there will be a fee of $30 for all medical records transfers.

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