VA Form 10-5345 Request for and Authorization to Release Health Information

What Is VA Form 10-5345?

This is a legal form that was released by the U.S. Department of Veterans Affairs on December 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VA Form 10-5345?
A: VA Form 10-5345 is a document used to request and authorize the release of health information.

Q: What is the purpose of VA Form 10-5345?
A: The purpose of VA Form 10-5345 is to allow individuals to request and give permission for the release of their health information in connection with VA benefits or medical treatment.

Q: Who can use VA Form 10-5345?
A: Any individual who receives or has received medical treatment or benefits from the Department of Veterans Affairs (VA) can use VA Form 10-5345 to request and authorize the release of their health information.

Q: How do I fill out VA Form 10-5345?
A: You need to provide your personal information, such as your name, address, social security number, and VA file number. You also need to specify the type of health information you want to release and to whom it should be released. Finally, you must sign and date the form.

Q: Are there any fees associated with submitting VA Form 10-5345?
A: No, there are no fees associated with submitting VA Form 10-5345.

Q: How long does it take to process a request made on VA Form 10-5345?
A: The processing time for a request made on VA Form 10-5345 may vary, but it is typically within a few weeks.