VA Form 10-5345a — Request your VA health information
Request your VA health information from the facility that holds it. Benefit-claim records use a Veterans Benefits Administration request.
Use the current official form
Revision: July 2021.
The destination depends on where your records are held. No national compensation intake address applies to this health-record request.
Submission instructions
Mail or fax — Facility that holds your records
Find your facility’s website, open Other services, then Access your health records for the local address and fax number. If care was at an outpatient clinic, call that office first to confirm it holds the records.
The medical records / Release of Information office at your VA health facility
Official destination instructionsIn person — Facility that holds your records
Bring the completed request and a valid photo ID.
Your VA health facility’s medical records office
Secure message — Request through My HealtheVet
Select the team at the facility where you received care. If no Release of Information team is listed, use mail, fax or in-person submission.
Your facility’s Release of Information care team
Official destination instructionsView annotated fields