Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Veterans Health Information Exchange (VHIE)

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Forms

Opt-Out of Sharing Protected Health Information Through Health Information Exchanges (Opt Out of Health Information Sharing) VA Form 10-10164
Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges (Opt Back Into Health Information Sharing) VA Form 10-10163

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To learn more, view the VHIE Veteran factsheet or visit the VHIE Frequently Asked Questions (FAQ) page. For a complete listing of trusted organizations VA exchanges electronic health information with, visit the Find Participating Providers page.

Still have questions? Call the toll-free VHIE Information Line at 1-877-771-8537 Monday-Friday 7 a.m.-9 p.m. CST or feel free to email us at VHAVHIEPublicAffairs@va.gov.  PLEASE DO NOT INCLUDE FORMS, PATIENT SSN, LAST FOUR AND/OR DATE OF BIRTH.  This is an unsecured mailbox.