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1. www.va.gov › st-louis-health-care › medical-recordsMedical Records Office | VA St Louis Health Care | Veterans ...

   www.va.gov › st-louis-health-care › medical-records

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   Jun 3, 2024 · 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 of Information office. Download VA Form 10-5345a (PDF)

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2. www.va.gov › resources › how-to-get-your-medicalHow to get your medical records from your VA health facility

   www.va.gov › resources › how-to-get-your-medical

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   Aug 19, 2022 · How to submit a medical records request. You’ll need to fill out an Individuals’ Request for a Copy of Their Own Health Information (VA Form 10-5345a). Get VA Form 10-5345a to download. Submit your completed form to your VA health facility’s medical records office.

3. www.va.gov › vaforms › medicalVA Form 10-5345 - VA.gov Home | Veterans Affairs

   www.va.gov › vaforms › medical

   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 U.S.C. 5701 and 7332 that you specify.

4. www.vba.va.gov › pubs › formsVA Form 21-4142 - Veterans Affairs

   www.vba.va.gov › pubs › forms

   Use this form to provide your written authorization to obtain your treatment records, so the VA can get the information required to process your claim. For more information, you can contact us online through Ask VA: https://ask.va.gov/ or call us toll-free at 1-800-827-1000 (TTY: 711).

5. sa1s3.patientpop.com › assets › docsAUTHORIZATION FOR RELEASE OF MEDICAL RECORDS - PatientPop

   sa1s3.patientpop.com › assets › docs

   TO REQUEST RELEASE OF MEDICAL INFORMATION PLEASE COMPLETE AND SIGN THIS FORM. I, ____________________________________hereby voluntarily authorize the disclosure of information from my health record. (Name of Patient) Patient Information: Patient Name: __________________________________________Record Number: ______________________________

6. www.warrelatedillness.va.gov › WARRELATEDILLNESSVA Form 10-5345, Request for Consent to Release of Medical ...

   www.warrelatedillness.va.gov › WARRELATEDILLNESS

   Department of Veterans Affairs. REQUEST FOR AND CONSENT TO RELEASE OF MEDICAL RECORDS PROTECTED BY 36 U.S.C. 7332. The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Act.

7. People also ask

   How do I get a copy of my VA medical records?

   • Call or visit one of our release of information offices. A completed and signed Individuals’ Request For a Copy of Their Own Health Information (VA Form 10-5345a). Download VA Form 10-5345a (PDF) 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.

   Medical records office | VA St Louis health care | Veterans Affairs

   www.va.gov/st-louis-health-care/medical-records-office/

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   How do I contact a VA medical records office?

   • This office is also called a Release of Information Office. You can submit your form by mail, by fax, or in person. If you go in person, bring your Veterans Health Identification Card or driver’s license. Follow these steps to find contact information for your VA health facility’s medical records office:

   How to get your medical records from your VA health facility

   www.va.gov/resources/how-to-get-your-medical-records-from-your-va-health-facility/

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   How do I find out if my VA health facility has medical records?

   • If you go in person, bring your Veterans Health Identification Card or driver’s license. Follow these steps to find contact information for your VA health facility’s medical records office: On your health facility’s website, scroll to the “In the spotlight” box. Select “Access your health records.”

   How to get your medical records from your VA health facility

   www.va.gov/resources/how-to-get-your-medical-records-from-your-va-health-facility/

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   Can I request medical records by email?

   • For privacy reasons, we can’t accept requests for medical records by email. 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.

   Medical records office | VA St Louis health care | Veterans Affairs

   www.va.gov/st-louis-health-care/medical-records-office/

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8. www.clfamilymembers.fsc.va.gov › Home › DownloadFormREQUEST FOR AND AUTHORIZATION TO RELEASE MEDICAL

   www.clfamilymembers.fsc.va.gov › Home › DownloadForm

   REQUEST FOR AND AUTHORIZATION TO RELEASE MEDICAL RECORDS OR HEALTH INFORMATION. NOTE: ADDITIONAL ITEMS OF INFORMATION DESIRED MAY BE LISTED ON THE BACK OF THIS FORM. AUTHORIZATION: I certify that this request has been made freely, voluntarily and without coercion and that the information given above is