Patient Portal

Request a copy of your medical records


Click on the link below for detailed information on how to request your medical records. After thoroughly reading the information sheet, complete the second page and fax it to (703) 876-0258 or mail it to our office. All forms are in Adobe format.

If you do not have the most current adobe reader installed on your computer,
you can download it by clicking the icon below.


Disclaimer

The information provided by neurologycenteroffairfax.com is for informational purposes only. Do not rely on neurologycenteroffairfax.com or any site accessed through neurologycenteroffairfax.com for medical advice. The content on this site is not intended to be a substitute for professional medical advice, treatment, or diagnosis. Always consult your physician or other health care provider for any questions you may have regarding a medical condition, diagnosis, or treatment. If you have questions about your health, you should consult your personal physician. If you think you have a medical emergency, dial 911 immediately.