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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 …
About VA Form 21-4142 | Veterans Affairs
- https://www.va.gov/find-forms/about-form-21-4142/
- Form name: Authorization to Disclose Information to the Department of Veterans Affairs (VA) Related to: Disability, Health care Form last updated: June 2022 …
REQUEST FOR AND AUTHORIZATION TO …
- https://www.va.gov/vaforms/medical/pdf/VA_Form_10-5345_%20Fillable.pdf
- "routine use" disclosure of the information as outlined in the Privacy Act system of records notices identified as 24VA10A7 "Patient Medical Record - VA", 08VA05 "Employee …
REQUEST FOR AND AUTHORIZATION TO …
- https://www.va.gov/files/2021-11/roi.pdf
- accordance with the VHA Notice of Privacy Practices. VA may also use this information to identify Veterans and persons claiming or receiving VA benefits and their records, and …
AUTHORIZATION TO DISCLOSE INFORMATION …
- https://www.vba.va.gov/pubs/forms/VBA-21-4142-ARE.pdf
- RESPONDENT BURDEN: We need this information and your written authorization to obtain your treatment records to help us get the information required to process your …
Veterans Affairs Request for and …
- https://eforms.com/release/va/
- Veterans Affairs Request for and Authorization to Release Medical Records or Health Information (VA Form 10-5345) Updated June 03, 2022. A Veterans Affairs …
VA Records | Veterans Affairs
- https://www.va.gov/records/
- Get your VA medical records (called VA Blue Button) Set up your personal health record and download medical records, reports, and images to share …
Medical Records Office | VA San Diego Health Care
- https://www.va.gov/san-diego-health-care/medical-records-office/
- Get your records by mail or fax 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 …
Medical Records Office | VA Houston Health Care
- https://www.va.gov/houston-health-care/medical-records-office/
- We can help you get copies of your VA medical records. We can also help you update your records. Call or visit one of our release of information offices. What to …
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