Skip to Content

We’ll be working on VA.gov soon. During that time, you won’t be able to sign in or use tools.

Start time: Thursday, October 1, 2026, at 8:00 p.m. ET
End time: Thursday, October 1, 2026, at 9:00 p.m. ET

VA Form 10-5345a

Form name:Individuals' Request for a Copy of Their Own Health Information
Form revision date: July 2021
Related to: Health care, Records

Downloadable PDF