Release of Medical Records
Authorize Gastro Virginia to release your medical records to another provider or healthcare entity for continuity of care.
View form
HIPAA Priv. Authorization
Review and acknowledge how your protected health information may be used and shared in accordance with HIPAA regulations.
View form
Patient Portal Sign-Up
Create or activate your patient portal account to securely access your lab results, appointments, and private medical messages.
View form
Provider Change Request
Request a change to your current provider while ensuring continuity and quality of personalized and coordinated medical care.
View form
Request to Waive Fee
Submit a request to waive a cancellation or no-show fee. Please provide necessary documentation or details for review by our billing department.
View form