Breast Imaging Records Request (Priors)

If you are a new patient to one of our sites and are having Mammography and/or Breast Ultrasound exams, we REQUIRE 3-5 years of prior breast imaging (if applicable). You MUST bring the Prior Images or have them at our site the day of your appointment. If you do not have the Prior Imaging then we will need to reschedule any Comprehensive/Diagnostic Mammograms appointments until we have access to those images. The importance of prior imaging when performing these types of Mammograms is based on history of findings previously being followed or at least noted. Without previous images and/or documentation, we could assume a finding would be considered new and drastically change the course of action including multiple additional images, exams, and possibly even an unnecessary biopsy. If you are scheduled for a screening mammogram, bringing prior imaging is not mandatory but is highly recommended for the same reasons as stated above.

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We can request these prior images and reports on your behalf. Please sign and fax our Breast Imaging Medical Record Release Form to the fax number provided on the respective form of our facility where you are scheduled. We will submit the request electronically (if the facility allows it) but may need to have prior imaging mailed.  If you are scheduled at:

Fair Oaks Imaging Center, please print this version and fax back to 703-385-3058 as soon as possible.

Loudoun Imaging Center, please print this version and fax back to 571-223-0330 as soon as possible.

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