Medical Records

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Online Medical Records Request

Please choose one of the following options:

I am the Patient

I am the Patient's Representative

I am an Attorney

When submitting a request online, please complete all required fields. You will need to upload a copy of your government issued photo ID.

Requests will be processed within five to ten business days of receipt. Requests are fulfilled by our medical records partner, Verisma.

Questions about online records requests? Call 866.278.1770 or email LifepointCS@Verisma.com.

Release of Information Hours of Operation – 8:30 a.m. – 4:30 p.m.

In an effort to protect the health and safety of our patients, families, visitors and staff, our release of information department (Medical Records) is temporary closed to the public. 

To receive a copy of your medical records, please complete the authorization request and submit it via email to WCCH.ROI@lpnt.net. You may also mail or fax your completed form. See additional information below.

You may also request a blank form by calling our health information management team at 276.625.8814 or by emailing WCCH.ROI@lpnt.net. 

Submit the completed form via email, fax, or mail.

If you choose to provide a completed authorization for release of information form via unsecured email, there may be risks to the security of the health information in that form. Wythe County Community Hospital therefore cannot guarantee the security and confidentiality (privacy) of that information and is not responsible and/or liable for any breach that may occur to that transmission.

  • Fax: 276.228.6993
  • Mailing Address: Attn: Health Information Management Department, 600 West Ridge Road, Wytheville, VA 2438

To assist in properly handling your request for health information, please fill out the entire authorization/release form.  Incomplete forms may delay processing of your request.

All authorizations must be dated after discharge and signed by the patient, unless he/she is a minor, deceased, physically and/or mentally impaired or has appointed Healthcare Power of Attorney or legal guardian. A copy of the Durable Healthcare Power of Attorney or Guardianship documentation must accompany the request. 

Once your request is received it will be processed and medical records will be mailed to you. Please allow 15 days to process your request. Please be advised that there may be a cost associated with requesting your medical records.