VA Form VA 10-5345

2025 Printable Template

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Form last updated: 03/2024. Please verify this is the current version before use.

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What is a VA 10-5345 used for?

VA Form 10-5345 is used to request and authorize the release of medical records or health information from the Department of Veterans Affairs. This form allows veterans to authorize the VA to share their health information with designated individuals or organizations for purposes such as medical care coordination.

Who needs to fill out a VA 10-5345 form

Veterans and their authorized representatives.

How to fill out a VA 10-5345 online?

Follow these steps to complete your VA 10-5345 form online.

Step 1
Step 1
Access VA Form 10-5345 from the VA website or a PDF editor.
Step 2
Step 2
Fill in all required personal information and details of the recipient.
Step 3
Step 3
Specify the medical records or health information to be released.
Step 4
Step 4
Sign the form in the designated area.
Step 5
Step 5
Review the completed form for accuracy.
Step 6
Step 6
Submit the form according to the VA's instructions, either by mail or through other accepted methods.

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Frequently Asked Questions

Find quick answers to common questions about our PDF editor.

It is a form used to request and authorize the release of medical records or health information from the VA.

Veterans and their authorized representatives must complete this form to authorize the release of their health information.

It is not required if veterans are accessing their own records directly through VA systems without needing to authorize release to others.

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