This is a legal form that was released by the U.S. Department of Veterans Affairs on June 1, 2015 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is VA Form 10-0527-CHOICE?
A: VA Form 10-0527-CHOICE is a form used to request and authorize the release of protected health information to the Choice Program.
Q: What is the Choice Program?
A: The Choice Program is a program that allows veterans to receive healthcare services from selected non-VA providers.
Q: Why would I need to fill out VA Form 10-0527-CHOICE?
A: You would need to fill out this form if you want to authorize the release of your protected health information to the Choice Program.
Q: What is protected health information?
A: Protected health information refers to any information about your health or healthcare services that is protected by privacy laws.
Form Details:
Download a fillable version of VA Form 10-0527-CHOICE by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.