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VA Form 10-0484 Revocation for Release of Individually-Identifiable Health Information Through Ehealth Exchange
What Is VA Form 10-0484?
This is a legal form that was released by the U.S. Department of Veterans Affairs on February 1, 2014 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 10-0484?
A: VA Form 10-0484 is a form used for revoking the release of individually-identifiable health information through the Ehealth Exchange.
Q: What is the Ehealth Exchange?
A: The Ehealth Exchange is a secure network that allows healthcare providers to share patients' health information electronically.
Q: Why would someone use VA Form 10-0484?
A: Someone would use VA Form 10-0484 to revoke their consent for the release of their individually-identifiable health information through the Ehealth Exchange.
Q: Is VA Form 10-0484 specific to veterans?
A: Yes, VA Form 10-0484 is specific to veterans and is used in relation to their healthcare information.
Form Details:
- Released on February 1, 2014;
- The latest available edition released by the U.S. Department of Veterans Affairs;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of VA Form 10-0484 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.
