We will gladly send your medical records to your new provider FREE of charge. Do not request your records until you have secured an appointment with your new provider. There is a fee if you would like a printed copy of your medical records mailed to you for your personal use. Download the Release of Medical Record Form, print, complete and sign. Email the form to firstname.lastname@example.org or mail to P.O. Box 1756, Ashburn, VA 20146. If requesting a personal copy of your medical records, we will not mail the records until the fee has been paid.