VA Form 10-10163 Request for and Permission to Participate in Sharing Protected Health Information Through Health Information Exchanges

VA Form 10-10163 Request for and Permission to Participate in Sharing Protected Health Information Through Health Information Exchanges

What Is VA Form 10-10163?

This is a legal form that was released by the U.S. Department of Veterans Affairs on October 1, 2019 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 10-10163?
A: VA Form 10-10163 is a form used to request and give permission to share protected health information through Health Information Exchanges.

Q: What is the purpose of VA Form 10-10163?
A: The purpose of VA Form 10-10163 is to allow individuals to request and provide consent for the sharing of their protected health information through Health Information Exchanges.

Q: What is protected health information?
A: Protected health information refers to any individually identifiable health information that is created or received by a healthcare provider or health plan and relates to the past, present, or future physical or mental health condition of an individual.

Q: What are Health Information Exchanges?
A: Health Information Exchanges are networks that enable the secure sharing of health information between different healthcare providers, such as doctors, hospitals, and clinics.

Q: Why would someone use VA Form 10-10163?
A: Someone may use VA Form 10-10163 to request the sharing of their protected health information through Health Information Exchanges in order to facilitate coordinated and efficient healthcare.

Q: Who can use VA Form 10-10163?
A: VA Form 10-10163 can be used by individuals who want to request the sharing of their protected health information through Health Information Exchanges, as well as healthcare providers and organizations that need permission to share this information.

Q: Is VA Form 10-10163 mandatory?
A: No, VA Form 10-10163 is not mandatory. Its use is voluntary and individuals can choose whether or not to request the sharing of their protected health information through Health Information Exchanges using this form.

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Form Details:

  • Released on October 1, 2019;
  • 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 10-10163 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 10-10163 Request for and Permission to Participate in Sharing Protected Health Information Through Health Information Exchanges

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  • VA Form 10-10163 Request for and Permission to Participate in Sharing Protected Health Information Through Health Information Exchanges, Page 1
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