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About VA Form 10-5345 | Veterans Affairs

    https://www.va.gov/find-forms/about-form-10-5345/
    Get VA Form 10-5345, Request for and Authorization to Release Health Information. Use this VA form to authorize VA to share your health information with a …

REQUEST FOR AND AUTHORIZATION TO …

    https://www.va.gov/vaforms/medical/pdf/VA_Form_10-5345_%20Fillable.pdf
    The form authorizes release of information in accordance with the Health Insurance Portability and Accountability Act, 45 CFR Parts 160 and 164; 5 U.S.C. 552a; and 38 …

About VA Form 21-4142 | Veterans Affairs

    https://www.va.gov/find-forms/about-form-21-4142/
    Get VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA). Use this form to give VA permission to obtain your …

How to get your medical records from your VA health facility

    https://www.va.gov/resources/how-to-get-your-medical-records-from-your-va-health-facility/
    Get VA Form 10-5345a to download. Submit your completed form to your VA health facility’s medical records office. This office is also called a Release of …

Find A VA Form | Veterans Affairs

    https://www.va.gov/find-forms/
    Search for VA forms by keyword, form name, or form number. ... Need to update your address for your VA prescriptions or get a copy of your medical record? …

Medical Records / Release of Information - Veterans Affairs

    https://www.va.gov/central-ohio-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 …

VA Form 10-5345, Request for Consent to Release …

    https://www.warrelatedillness.va.gov/WARRELATEDILLNESS/docs/HealthCare_Provider_ROI_FORM.pdf
    VA Form 10-5345, Request for Consent to Release of Medical Records Protected by 36 U.S.C. 7332 Author: Elizabeth Corn, Network 3 Web Developer ... Automated VA Form …

Veterans Affairs Request for and Authorization to …

    https://eforms.com/release/va/
    Updated June 03, 2022. A Veterans Affairs Request for and Authorization to Release Medical Records or Health Information, or “VA Form 10-5345”, is a document that will allow the collection of treatment …

Request your military service records (including DD214)

    https://www.va.gov/records/get-military-service-records/
    Follow these steps to submit a military records request. From your signed-in homepage, click or tap on Correspondence/ Documentation. Then select Defense …



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