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About VA Form 10-5345 | Veterans Affairs

    https://www.va.gov/find-forms/about-form-10-5345/
    Home Find a VA form About VA Form 10-5345 About VA Form 10-5345 Form name: Request for and Authorization to Release Health Information Related to: Health care Form last updated: September 2022 When to use this form Use VA Form 10-5345 to …

Get Your VA Medical Records Online | Veterans Affairs

    https://www.va.gov/health-care/get-medical-records/
    Get Your VA Medical Records Online | Veterans Affairs VA Benefits and Health Care About VA Find a VA Location My VA Learn what the PACT Act means for …

REQUEST FOR AND AUTHORIZATION TO …

    https://www.va.gov/vaforms/medical/pdf/VA_Form_10-5345_%20Fillable.pdf
    TO: DEPARTMENT OF VETERANS AFFAIRS (Name and Location of the VA Health Care Facility) NAME AND ADDRESS OF ORGANIZATION, INDIVIDUAL, OR TITLE OF …

About VA Form 21-4142a | Veterans Affairs

    https://www.va.gov/find-forms/about-form-21-4142a/
    Use VA Form 21-4142a to give us permission to get medical provider information from a non-VA source like a private doctor or hospital. This will allow us to …

Medical Records Office | VA St Louis Health Care

    https://www.va.gov/st-louis-health-care/medical-records-office/
    Release of Information Office First floor Room A101C Map of John Cochran campus Phone: 314-652-4100, ext. 63834 Hours: Monday - Friday 8:00 am - 4:30 pm. …

Medical Records / Release of Information - Veterans Affairs

    https://www.va.gov/central-ohio-health-care/medical-records-office/
    Release of Information office location. Medical Records / Release of Information Office First Floor, Room 1A180 Map of Central Ohio campus Phone: 614 …

Medical Records Office | VA Chicago Health Care

    https://www.va.gov/chicago-health-care/medical-records-office/
    To request a copy of your VA medical records by mail or fax, send a signed and completed VA Form 10-5345a to our Release of Information office. Download VA …

VHA Dir 1605.01, Privacy and Release of …

    https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3233
    provides revised instructions on compliance with the Privacy Act and the release of information from drug and alcohol abuse, infection with the human …

Medical records office | VA San Diego health care | Veterans Affairs

    https://www.va.gov/san-diego-health-care/medical-records-office/
    The Veterans Health Information Exchange (VHIE) program lets us electronically share your health information with health care providers who treat you, including participating non-VA providers if you receive care outside of VA. This program is voluntary, and you can choose not to share your information (opt out of sharing). Learn …

Medical Records Release Authorization …

    https://eforms.com/release/medical-hipaa/
    Medicare HIPAA (Form CMS-10106) Download: Adobe PDF How to Get Medical Records Accessing and obtaining your medical records is a …



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