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3 Selected / 532 In Database Search Again
Number (type) Title Issue Date Revision Date # Pages
10-5345a-MHV
(PDF)
Individual's Rqst for Med Record from MyHealtheVet - fillable 12/11/2006 5/2012 2
10-5345
(PDF)
Request For and Authorization To Release Medical Records Or Health Information 11/29/2004 08/2017 1
10-5345a
(PDF)
Individuals' Request for a Copy of Their Own Health Information - fill 5/6/2005 8/2017 1
 
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