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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 instructions

Official references

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FACILITY REFERENCE