United States Department of Veterans Affairs
United States Department of Veterans Affairs

VAMC Fayetteville, North Carolina

Release of Information

Our Release of Information staff will be happy to assist you with requests for your medical records. We also assist providers with completing forms for patients.

We can assist you with the following —

  • access to your medical records
  • obtaining copies of your medical records
  • requests to amend your medical records
  • completion of forms for benefits, insurance, and other reasons

The Release of Information Staff is expert in our patients' rights and their medical records.

Right to Access and/or Review Medical Information

Requests for access (to look at or to review) or copies of, individually-identifiable information need to be processed in accordance with all Federal laws including
 FOIA, Privacy Act, and HIPAA. Except as otherwise provided by law or regulation, individuals, upon written request, may gain access to, or copies or, their individually-identifiable information or any other information pertaining to them that is contained in any system of records or designated record set maintained by VHA. VA Form 10-5345a, Individual's Request for a Copy of Their Own Health Information, may be used as the written request requirement.


Patient Information

Patient Information
Eligibility
Make, Change, or Cancel an Appointment
Advance Directives
Patient Education
Customer Service
Discharge
Billing and Insurance
Release of Information

Release of Information Forms

pdf document Request for and Authorization to Release Medical Records or Health Information (VA 10-5345)
pdf document Individuals' Request for a Copy of Their Own Health Information (VA 10-5345a)

Related Links

Notice of Privacy Practices