The VA 21-4142 Forms are completed by the veterans that have received treatment from a non-VA healthcare provider and used to authorize the release of medical information and healthcare provider data to the U.S. Department of Veterans Affairs (VA) before filing for disability benefits or when submitting medical claims.
Fillable versions of the VA 21-4142 Forms are available for download below. This series includes two forms:
VA Forms 21-4142 are often used when applying to increase a VA disability rating due to some medical conditions worsening over time.
The process of increasing the rating might require attending hearings or priding the VA with additional paperwork at their request.
2
This form is filed by veterans to authorize the release of their medical records and personal information to the Department of Veterans Affairs (VA).
This form is used for gathering private provider information about a veteran's private providers for the Department of Veterans Affairs (VA). The release is submitted along with corresponding paperwork.