AUTHORIZATION OF MEDICAL RECORDS

If you need to inquire about a particular test, procedure, method, or infectious agent, call us at 804-648-4480. We prefer to speak directly with our customers to provide the most helpful answer. This allows us to route our customers appropriately, respond to requests quickly, and to provide the most accurate and current information possible.

DCLS will provide copies of patient reports to citizens as required by The Centers for Medicare and Medicaid Services (CMS). Please print the following documents and submit the request to DCLS to receive a copy of your test results report.

Authorization and Consent for the Release of Medical Records

Authorization and Consent for the Release of Medical Records - Instructions

To request the release of a newborn screening dried blood spot sample, please print and complete the document below and return to DCLS.

Authorization and Consent to Release Remaining Dried Newborn Screening Blood Spots