Release of Medical Records

The Occupational Health Department needs a written request to release documentation of immunizations and tuberculosis surveillance from an EVMS record.

Complete the ‌Authorization for the Release of Medical Information form and forward to Occupational Health.

You may e-mail your request to, fax a written request to 757.446.7188, or mail a request to:

Eastern Virginia Medical School
Occupational Health
PO Box 1980
Norfolk, VA 23501-1980