medical records release

To have a copy of your medical records sent to our office, please complete the following steps:

  1. Download and complete and sign the Medical Records Release for the release of protected health information

  2. Fax or mail the form to your former medical provider that you indicated on the form

  3. We will let you know when we receive your records!

Our info:

Direct Primary Care of Blacksburg

510 S Main St

Blacksburg, VA 24060

Phone: 540-315-7389

Text: 540-266-1315

Fax: 540-242-0755