Request Medical Records

Looking to obtain a copy of your medical records?

Chippenham Hospital utilizes CIOX Health for release of information. You may request the release of your medical records by printing and completing the following form:

Records Sent to Your Home

Upon completion, choose one of the following options:

Please allow seven to 10 days for Ciox, the firm who handles these requests to process.

For additional information, or to check on a status of a previous request please call (804) 267-2539 or toll free at (877) 302-7338.

If you need translation services, please contact the facility Health Information Management (HIM) Department at: (804) 483-0446.

Continuation of Care

Facility or Doctor

If you are a facility or a doctor’s office requesting records on a patient currently being treated, or you are a patient requesting records be sent to a physician for continuation of care, please fax a completed release form to CIOX Health (855) 330-4290. Records for continuation of care will be expedited as needed and there is no charge. To follow up on a request please call (804) 267-2539 or toll free at (877) 302-7338.

To request copies of your bill or if you have a question about your bill please contact the billing office at (804) 267-3700.

For medical records questions not related to obtaining copies of records please call: (804) 483-0446.

The offices are open 8:00am through 4:30pm, Monday-Friday.