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!
- Please click here to fill out the form that transfers your child’s records from your previous practice 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.


