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This version of the form is not currently in use and is provided for reference only. Download this version of
VA Form 10-10164
for the current year.
VA Form 10-10164 Opt-Out of Sharing Protected Health Information Through Health Information Exchanges
What Is VA Form 10-10164?
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 10-10164?
A: VA Form 10-10164 is a form used to opt-out of sharing protected health information through health information exchanges.
Q: What does it mean to opt-out of sharing protected health information?
A: Opting out of sharing protected health information means that your health information will not be shared through health information exchanges.
Q: What are health information exchanges?
A: Health information exchanges are networks that allow healthcare providers to share patient health information securely and electronically.
Q: Why would someone want to opt-out of sharing their protected health information?
A: Someone may want to opt-out of sharing their protected health information due to privacy concerns or personal preferences.
Q: How can I fill out VA Form 10-10164?
A: You can fill out VA Form 10-10164 by following the instructions provided on the form and providing the necessary information.
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 10-10164 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.
