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Countryside Orthopaedics

Orthopedic Surgeons & Specialists in Loudoun

703-858-1800

19465 Deerfield Avenue, Suite 405, Leesburg, VA 20176

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      • Raymond Lower, D.O., F.A.A.O.S.
      • Imran Khan, M.D.
      • Adam J. Lorenzetti, M.D.
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Medical Records

Copies of pertinent medical records are available to the patient or an authorized representative for a nominal fee once we have received a signed Authorization to Release Healthcare Information Form. The patient may hand-deliver, fax (703) 858-1801 or mail the completed form to our office.

Special documentation requests, other than insurance company requirements, including letters and forms completion, will be honored for a fee.

In accordance with Virginia law, medical records will be destroyed six (6) years after the last documented visit. Records of minors will be kept until they are eighteen years of age.

Please Note: To fill out these PDF forms on your computer, please download the latest free Adobe Acrobat Reader application.

Contact Us

Orthopaedic Office: 703-858-1800
Therapy Office: 703-858-1805

Countryside Orthopaedics
19465 Deerfield Avenue, Suite 405
Leesburg, VA 20176
Fax: 703-858-1801

Serving the greater Loudoun County area, including Purcellville VA, Leesburg VA, Ashburn VA and Sterling VA.

Our orthopaedic office is open from 8:00 AM to 4:30 PM, Monday through Friday, and are closed each day from 12 Noon to 1:30 PM for lunch.

Our therapy office is open from 7:00 AM to 7 PM, Monday through Friday.

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