Va medical records release Form 2021-2024

Va medical records release Form: What You Should Know

AUTHORIZATION FOR MEDICAL RECORDS: If you authorize us to release your own health care records, we will inform the respondent. If you do not give us a description of who you are, or if only your address is given, we will be unable to locate records for you. We need that authorization because we would also like to search for records for you when the records are available. AUTHORIZATION FOR MEDICAL RECORDS: If you have authorized us to release your own health care records, we will also provide copies of those records for you to review and sign. STATE AND PROVINCIAL GOVERNMENTS: We need your written permission to release your medical records to others. This may be necessary in a certain circumstance to respond to governmental records requests that we are not able to respond to on our own. You cannot release health care records to others unless you are authorized to do so; You can request copies of the records from the Department of Veterans Affairs if you do not have a copy by yourself. If you have questions or requests for additional information or copies Please write us at: Veterans Health Administration Release of Information Office 100 West PICO Boulevard Room 934 Los Angeles, CA 90012 To order copies of records, go to: We can accept your VA Medical Record Request forms and documents up until the time period specified on the application. If we accept an application for more than 20 days prior to receiving it from you, we will not be able to process the application under that time. We will tell you the reason why. We will not be able to send you a copy of the form or the documents you submitted because we cannot guarantee delivery of copies to you. Your copy will be for you only. VA staff cannot provide a copy to anyone else, and if we do, you must agree to keep a copy for yourself. Please make this form and the documents available for review immediately upon receipt.

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