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Medical records office

Get copies of your VA medical records online, by mail or fax, or in person at our VA Hines health care Release of Information office.

Get your records online

Access your VA medical records online with VA Blue Button. Sign in to view, organize, and share your VA medical records and other personal health information. We don't charge any fees to send copies directly to health care providers.

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Get your records in person

We can help you get copies of your VA medical records. We can also help you update your records. Call or come to the Release of Information office at our Edward Hines Junior Hospital campus.

What to bring

Release of Information office location

Edward Hines Jr. VA Hospital
Release of Information Office
Building 220
Ground floor
Room 104

ROI

Map of Edward Hines Junior Hospital campus

Phone: 708-202-2121
Hours:  8:00 am - 4:30 pm

Get your records by mail or fax

To request a copy of your VA medical records by mail or fax, send a signed and completed VA Form 10-5345a to our Release of Information office.

Download VA Form 10-5345a (PDF)

 

Edward Hines Jr. VA Hospital
Release of Information Office

Mail Code: 136D1
5000 South 5th Avenue
Hines, IL 60141

Fax your signed form to
708-202-7999

We process mailed or faxed requests within 10-14 days, but may take up to 30 days for extenuating circumstances per HIPAA allowance. For privacy reasons, we can’t accept requests for medical records by email.

How we share your records with providers outside VA

The Veterans Health Information Exchange (VHIE) program lets us electronically share your health information with health care providers who treat you, including participating non-VA providers if you receive care outside of VA.

This program is voluntary, and you can choose not to share your information (opt out of sharing).

Learn more about VHIE

To opt out of sharing

Fill out, sign, and date VA Form 10-10164 (Opt Out of Sharing Protected Health Information).

Mail the signed, completed form to our ROI office. You can also bring it with you or ask for this form when you visit us.

Download VA Form 10-10164 (PDF)

Note: If you had revoked your permission to share, before September 30, 2019, your opt out status will stay active. You don’t need to submit form 10-10164.

To allow sharing after opting out

If you change your mind and want to share your health information, you’ll need to submit VA Form 10-10163 (Request for and Permission to Participate in Sharing Protected Health Information).

Mail the signed, completed form to our Release Of Information office. You can also bring it with you or ask for this form when you visit us.

Download VA Form 10-10163 (PDF)

Questions about medical records

 

You can get another person's medical records if you’re listed as having Power of Attorney (POA) or you’re the patient’s next of kin. For more information and guidance, please give us a call at 708-202-2121.

You can get the records of a deceased patient if you have:

  • For the State of IL, the POA expires at death. Proof of kinship is required.

Yes. If you’re making the request in person, you can tell us what format you would like. If you’re using VA Form 10-5345a, check the “CD-ROM” or “Other” box (and write in DVD).

Yes, we provide all available images on DVD.

If you have a My HealtheVet Premium account, you can also view or download many kinds of radiology images online. A Premium account is one where you’ve gone through extra identity authentication. 

Please ask at a patient registration office, and they will provide you documentation of your VA coverage.

Effective April 1, 2022, Edward Hines Jr. VA will follow the Fee Schedule as set in the VHA Directive 1605.01 for third party requests.