About VA Form 10-5345
- Form name: Request for and Authorization to Release Health Information
- Related to: Health care
- Form last updated: September 2022
When to use this form
Use VA Form 10-5345 to authorize us to share your health information with a non-VA (or third-party) individual or organization.
Downloadable PDF
Download VA Form 10-5345 (PDF)Helpful links related to VA Form 10-5345
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