Fairfax-Falls Church Community Services Board

CONTACT INFORMATION: Emergency - 703-573-5679 / Detox - 703-502-7000 (24/7)
703-383-8500 TTY 711
8221 Willow Oaks Corporate Drive
Fairfax, Virginia 22031
Daryl Washington
Executive Director

Requesting Your CSB Medical Record

If you have received or are currently receiving services with the Fairfax-Falls Church Community Services Board, you are entitled to access your records, and share information about your services as needed.

Records will be available to pick up or be mailed within 15 (fifteen) business days.

The CSB cannot release any information about people receiving services unless a signed Authorization to Disclose or Request Protected Health Information form is in place allowing that exchange of information.

Instructions for accessing CSB medical records are also available in Spanish and there is a Spanish language version of the authorization form.

rows and columns of drawers containing catalog information

At the time your records are released, a payment of $0.37 cents per page up to 50 (fifty) pages and $0.18 cents per page thereafter, or $6.00 for a CD, plus a $10.00 administrative fee will be collected to cover the costs associated with copying and researching your record.

If you have any questions regarding your CSB Medical Record, please call 703-383-8480.

Making a referral to the CSB

How to professionals/providers can make referrals to the CSB

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