Your disclosure of the information requested on this form is voluntary. However, if information needed to locate records for release is not furnished completely and accurately, VA will be unable to comply …
Step-by-Step Guide to Filling Out VA Form 10-5345
May 23, 2025 · VA 10-5345 helps veterans control who sees their medical records. It is simple but must be filled out carefully. You can use this form for personal, legal, or medical reasons. Just follow the …
Free VA Form 10-5345 | PDF - eSign
Apr 23, 2024 · VA Form 10-5345 is a medical records release form used to request the release of a veteran’s health information held by the Department of Veteran Affairs to a non-VA entity.
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Veterans Affairs Request for and Authorization to Release Medical ...
Nov 6, 2024 · A Veterans Affairs Request for and Authorization to Release Medical Records or Health Information, or "VA Form 10-5345," is a document that allows the collection of treatment records for …
VA Form 10-5345 Download Fillable PDF or Fill Online Request for …
Jul 1, 2021 · An up-to-date fillable version of the form is available for download below or can be found on the VA website. You are required to submit your request to VA if you need to disclose your medical …
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About VA Form 10-5345 - Veterans Affairs
Dec 18, 2025 · When to use this form Use VA Form 10-5345 to authorize us to share your health information with a non-VA (or third-party) individual or organization.
The Veterans Health Administration may not condition treatment, payment, cmrollmcmt or eligibility on signing the authorization. VA may disclose the information that you put on the form as permitted by law.
Your disclosure of the information requested on this form is voluntary. However, if information needed to locate records for release is not furnished completely and accurately, VA will be unable to comply …
VA FORM 10-5345, SEP 2018 Page 2 of 2
VA Form 10-5345 2024-2025 - Fill Forms Online - PDF Guru
Fill out VA Form 10-5345 accurately with PDF Guru. Access our tools to complete and download your form today for easy record-keeping!