To receive a copy of your medical record, please print out and complete our HIPAA authorization form, fax or mail the completed authorization form with a copy of your driver's license or ID card to our office.
1721 North King Street, Hampton, Virginia 23669, United States
Phone: 757-722-0309 Fax: 757-351-4101 Email: HPTG@hamptonptg.com
E-mail disclaimer:
Please know that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted or read by other parties besides the person to whom it is addressed. Please do not include personal identifying information such as your birth date, address or personal medical information in any emails you send to us.
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