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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01

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02

Sign the form

Add your electronic signature to the fillable VA 10-5345 form to certify it came directly from you.

03

Send it to the requester

Download and instantly print or share your signed VA 10-5345 with the requester.

How to fill out a VA 10-5345 online?

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

Step 01

Access VA Form 10-5345 from the VA website or a PDF editor.

Step 02

Fill in all required personal information and details of the recipient.

Step 03

Specify the medical records or health information to be released.

Step 04

Sign the form in the designated area.

Step 05

Review the completed form for accuracy.

Step 06

Submit the form according to the VA's instructions, either by mail or through other accepted methods.

Department of Veterans Affairs

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.

What is VA Form 10-5345?

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

Who needs to complete this form?

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

When is this form not necessary?

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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