LewisGale Regional Health System utilizes a vendor, CIOX Health, for release of information.

ciox health logo

You may request the release of your medical records by printing and completing the following form:

Upon completion, choose one of the following options:

  • Fax the completed form to:

    CIOX Health - (855) 330-4290

  • Mail the completed form to:

    CIOX Health
    Release of Information
    Richmond Shared Service Center
    7300 Beaufont Springs Drive
    Richmond, VA 23225

  • Email the completed form to:


Allow five to seven business days for processing.

When records are to be released to another medical office for continuation of care, please specify the medical office name, address, phone and fax in the "Recipient" section of the authorization form.

For personal requests, your records will be mailed to the recipient address or email provided on the authorization form. The records will be mailed from CIOX Health and the envelope will display their logo.

For questions, please contact CIOX Health Customer Service at: (877) 302-7338 or email RICHSC.PHI@cioxhealth.com