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About VA Form 10-5345 | Veterans Affairs

    https://www.va.gov/find-forms/about-form-10-5345/
    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: …

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
    VA may disclose the information that you put on the form as permitted by law. VHA may make a “routine use” disclosure of the information as outlined in the Privacy Act system …

About VA Form 21-4142 | Veterans Affairs

    https://www.va.gov/find-forms/about-form-21-4142/
    Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal …

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 Form 3288, REQUEST FOR AND CONSENT …

    https://www.va.gov/vaforms/va/pdf/VA3288.pdf
    I hereby request and authorize the Department of Veterans Affairs to release the following information from the records identified above to the organization, agency, or individual …

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 …

Find A VA Form | Veterans Affairs

    https://www.va.gov/find-forms/
    Find out how to change your address and other contact information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other …

Medical Records Office | VA San Diego Health Care

    https://www.va.gov/san-diego-health-care/medical-records-office/
    Release of Information Office 858-642-3661 Get your records by mail or fax To request a copy of your VA medical records by mail or fax, send a signed and …



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