A completed and signed Individuals Request For a Copy of Their Own Health Information (VA Form 10-5345a). Washington DC VA Medical Center, Business Office-Medical Records, Mail Stop Code 08 50 Irving Street NW Washington, DC , DC 20422 Fax your signed form to (202) 745-8645 or (202) 745-8904 We process mailed or faxed requests within 10-14 days. The party to whom the records are to be released. The .gov means its official. For privacy reasons, we cant accept requests for medical records by email. Please ask at the Register for care office, and they will provide you documentation of your VA coverage. This program is voluntary, and you can choose not to share your information (opt out of sharing). The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, About the VA Mid-Atlantic Health Care Network, VA Form 10-5345, Request and Authorization to Release Medical Records or Health Information, VA Form 10-5345a Individuals' Request for Copy of Their Own Health Information, Call TTY if you Outreach Coordinator. Contact Us. To enter and activate the submenu links, hit the down arrow. Update your personal, financial, or insurance information with VA Form 10-10EZR. One of the most common requests we receive is to retrieve medical records from the Department of Veterans Affairs (VA). Please switch auto forms mode to off. 3. To enter and activate the submenu links, hit the down arrow. We process mailed or faxed requests within 10-14 days. You dont need to submit form 10-10164. If you change your mind and want to share your health information, youll need to submit VA Form 10-10163 (Request for and Permission to Participate in Sharing Protected Health Information). office. Asheville VA Medical Center; . You can get the records of a deceased patient if you have: Yes. All Rights Reserved. Charlottesville PO Box 800476 Charlottesville, VA 22908 434-924-5136 434-924-2432 (fax) CLHIMDCT@hscmail.mcc.virgina.edu *Prince William 8700 . The .gov means its official. This email address is to be used for Our . Get updates on affected services and facilities. If youre usingVA Form 10-5345a, check the CD-ROM or Other box (and write in DVD). VISN 4. You can get the records of a deceased patient if you have: Yes. Learn how we're making it easier for you to get health care through VA facilities, mobile health clinics, virtual telehealth, and community care providers. Hershel "Woody" Williams VA Medical Center. South Hill, VA 23970 Requested copies of medical information will be provided within 15 days of receipt. To obtain copies of medical records please call 866-625-7130, fax 678-710-7032 or email 60181_Our_Lady_Bellefonte_Hospital@cioxhealth.com. For the Medical Center, COVID "walk-in" results and return to work/school are provided. The Veterans Health Information Exchange (VHIE) program lets us electronically share your health information with health care providers who treat you, includingparticipating non-VAprovidersif you receive care outside of VA. An official website of the United States government. 3. Learn how we're making it easier for you to get health care through VA facilities, mobile health clinics, virtual telehealth, and community care providers. Press the alt key and then the down arrow. Working with the Department of Veterans Affairs isnt a pain when youre armed with the proper tools, knowledge, and assistance. visit VeteransCrisisLine.net for more resources. (Registration Required), Survivors Education & Assistance Benefits (Chapter 35), Veterans Education Assistance Program (VEAP), Veterans Information Portal (WebLGY) (Registration Required), Service Members' Group Life Insurance (SGLI), Family Servicemembers' Group Life Insurance (FSGLI), Servicemembers' Group Life Insurance Traumatic Injury Protection (TSGLI), Service-Disabled Veterans Insurance (S-DVI), Batteries (for Hearing Aids & Other Devices), Manage Your Prescriptions at Your Local VA Medical Center, Manage Your Prescription Refills with My HealtheVet (Registration Required), Health (Please contact your local VA Medical Center), Track Your Appointments with My HealtheVet (Registration Required), Domiciliaries (Please contact your local VA Medical Center), Talent Management System (TMS) (Registration Required), Direct Deposit Sign-Up Form SF 1199A (PDF), Personal Identification Verification (PIV) Card, Security Investigation Center/Background Investigations, Security Investigation Center/Background Clearances, Freedom of Information Act (FOIA)/Privacy Act Requests, 214138 Statement in Support of Claim (PDF), 221995 Request for Change of Program or Place of Training (PDF), 221990 Application for Education Benefits (PDF), 212680 Exam for Housebound Status or Permanent Need for Regular Aid and Attendance (PDF), 1010ez Application for Health Benefits, Call TTY if you VA is offering free Flu, COVID-19 and Monkeypox vaccines to eligible Veterans. An official website of the United States government. A completed and signed Individuals Request For a Copy of Their Own Health Information (VA Form 10-5345a). COSTS: Patients $.37 per page up to page 50 $.18 per page, page 51 and up, Cap Fee of $150 CD/DVD $10.00 Please note, records will be faxed at no cost directly to provider for continuity of care. It is our duty to safeguard all patient information. CRBH HIM Phone: 540-458-3135 FAX: 540-458-0027. Veterans, their family members, or authorized representatives must use these to obtain healthcare records from the VA. VA Request for and Authorization for Release of Health Records. Inova Heart and Vascular Institute - Inova Fairfax Medical Campus 3300 Gallows Road Falls Church, VA 22042 3300 Gallows Road Falls Church VA 22042 Phone: 703-776-4001 Get Directions See Location Details Open 24hrs Inova Emergency Room - Fairfax City A department of Inova Fairfax Hospital 4315 Chain Bridge Rd Fairfax, VA 22030 : HIM/Medical Records 2900 Lamb Circle Christiansburg, VA 24073. Find out how to change your address and other information in your VA.gov profile. To access the combo box on this page please perform the following steps. Get copies of your VA medical records online, by mail or fax, or Copyright 2023 Augusta Health. The purposes for which the records are requested. have hearing loss. 781-687-3882 O: Outreach. You can get another person's medical records if youre listed as having Power of Attorney (POA) or youre the patients next of kin. Mail the signed, completed form to our ROI office. in person The release of all medical information (medical records, x-rays, disability forms, etc.) Apply for and manage the VA benefits and services you've earned as a Veteran, Servicemember, or family memberlike health care, disability, education, and more. Request your DD-214; VA Form 10-5345, Request and Authorization to Release Medical Records or Health Information; VA Form 10-5345a . Get help from a patient advocate Access your health records Find a phone number Check your billing, insurance, and . A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z |, Veterans Crisis Line: Update your personal, financial, or insurance information with VA Form 10-10EZR. 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. A Premium account is one where youve gone through extra identity authentication. Salem VA Medical Center; Salisbury VA Medical Center; return to top . Learn how we're making it easier for you to get health care through VA facilities, mobile health clinics, virtual telehealth, and community care providers. Yes, we provide all available images on DVD. Download VA Form 10-5345a (PDF) Whatever the nature of the legal action in which your firm is involved, the VA often plays more than one role in the case. You can also bring it with you or ask for this form when you visit us. in person If you are in crisis or having thoughts of suicide, Download and complete the authorization for release of medical information form ( see all forms) Mail or fax this form: Mail to: UVA Health Release of Information, Health Information Services P.O. Health Information Management compiles complete and accurate medical information for Augusta Health patients. Sign in to view, organize, and share your VA medical records and other personal health information. Veterans, their family members, or authorized representatives must use these to obtain healthcare records from the VA. Federal government websites often end in .gov or .mil. 412-822-3407. The VA recently updated their form VHA 10-5345 Request for and Authorization to Release Health Information. Note:If you had revoked your permission to share, before September 30, 2019, your opt out status will stay active. Hit enter to expand a main menu option (Health, Benefits, etc). Information regarding the veterans insurance such as med pay, no fault, etc.. The site is secure. 20422, Update your VA health benefits information. office. 3. To enter and activate the submenu links, hit the down arrow. at our Call: 988 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. The site is secure. Important Phone Numbers for VCU Patients General Information (804) 828-9000 Appointments (804) 828-7929 or toll free (800) 762-6161, weekdays from 8 a.m. to 5 p.m. Online appointment request: vcuhealth.org/appointments (imaging and psychiatric appointments cannot be requested through the online form) Patient Information (804) 828-9000 option 1 To request a copy of your medical record (s), please contact our Health Information Management Department at (804) 828-4423. It is typically: Of course, just like all other evidence obtained during discovery, both the attorneys for the plaintiffs and the attorneys defending the insurance companies and other third parties involved require a complete record of the medical care the veteran received. We can also help you update your records. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. A veteran may have received care at one or more VA medical facilities. Visit our vaccine information page, Get updates on affected services and facilities. Update your VA health benefits information. Call: 988 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. Phone Directory; Service Location Phone; H: Human Resources. Get copies of your VA medical records online, by mail or fax, or You can get another person's medical records if youre listed as having Power of Attorney (POA) or youre the patients next of kin. Joseph Maxwell Cleland Atlanta VA Medical Center, Update your VA health benefits information. 919-354-9336 X129336 Email. Sign in to view, organize, and share your VA medical records and other personal health information. Visit Health Information Management Records can also be requested by visiting the Health Information Management Department located at 342 Mule Academy Road, Fishersville VA, 22939. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. 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. VISN 4: VA Pittsburgh Healthcare System. tavares.adams@va.gov Address. Sign in to view, organize, and share your VA medical records and other personal health information. Your Veteran Health Identification Card (VHIC), Any POA paperwork or will showing you have a legal right to their record. visit VeteransCrisisLine.net for more resources. 1. A Premium account is one where youve gone through extra identity authentication. 1. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. have hearing loss. Note:If you had revoked your permission to share, before September 30, 2019, your opt out status will stay active. You can also bring it with you or ask for this form when you visit us. All Orlando VA Health Care System (OVAHCS) facilities are fully operational. For privacy reasons, we cant accept requests for medical records by email. Mail the signed, completed form to our ROI office. Hit enter to expand a main menu option (Health, Benefits, etc). at our Release of Information Augusta Health now offers an Online Patient Record Request tool for the patients and a patients legal representative to request patient records. Carilion New River Valley Medical Center (CNRV) Attn. If you are in crisis or having thoughts of suicide, All Rights Reserved. To request a copy of Medical Records, click here. 781-879-5725 P: Pharmacy. The responsible partys contact information, Details of the amounts and types of insurance coverage, Attorneys costs and fees (note if reductions were taken), Amount of other medical claims and reductions negotiated. Physicians/providers - for copies of patient records For physicians or other providers with an urgent medical records request while a patient is being treated in the office or for an approaching appointment, please fax a copy of the request letter to (678) 999-4895. Patients can also request copies of medical records by fax or mail by completing the authorization form provided below. Knowledge of medical and legal requirements related to health information management and health records. We process mailed or faxed requests within 10-14 days. 2. Please ask at the Register for care office, and they will provide you documentation of your VA coverage. Fill out, sign, and date VA Form 10-10164 (Opt Out of Sharing Protected Health Information). Note:If you had revoked your permission to share, before September 30, 2019, your opt out status will stay active. 3. To enter and activate the submenu links, hit the down arrow. Patients can also request copies of medical records by fax or mail by completing the authorization form provided below. If you are in crisis or having thoughts of suicide, A completed and signed Individuals Request For a Copy of Their Own Health Information (VA Form 10-5345a). 57566, 57567 or 57569. Call for Assistance 540-332-4000, 78 Medical Center Dr Fishersville, VA 22939, 540-332-4000 1. An official website of the United States government. Malcom Randall Department of Veterans Affairs Medical Center 1601 Southwest Archer Road Gainesville, FL 32608-1135 Attention: Release of Information Office . have hearing loss. To request a medical record or information, please fill out a VA Form 10-5345 (Request for an Authorization to Release Medical Records), sign the form and mail it to the following address: Captain James A. Lovell Federal Health Care Center. A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z |, Veterans Crisis Line: Last updated November 8, 2022 North Chicago, Illinois 60064. If youre making the request in person, you can tell us what format you would like. The Veterans Health Information Exchange (VHIE) program lets us electronically share your health information with health care providers who treat you, includingparticipating non-VAprovidersif you receive care outside of VA. Important Note: Signatures on VA forms must have been obtained within the past year. Resources. VA Records Center and Vault Secure, Reliable, Responsive Records Storage and Management Services VA Records Center and Vault (RCV) provides short- and long-term records storage and records management services for VA and other Federal government agency customers. A completed and signed Individuals Request For a Copy of Their Own Health Information (VA Form 10-5345a). Call: 988 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. : HIM/Medical Records 180 Floyd Ave. Rocky Mount, VA 24151 Private Medical Evidence; Compensation & Pension Exam; Effective Dates; Fully Developed Claims; Benefit Rates; . . Federal government websites often end in .gov or .mil. Download or Send Your Record with MyChart Nondiscrimination and Accessibility Policy, Weather Related Closings, Cancellations and Delays: Click here for the latest information, Covid-19 Information & Vaccine Availability, Document patient care and serve as a communication link among caregivers, Are important to the financial well-being of the facility as they substantiate reimbursement claims, Help protect the legal interests of the patient, healthcare provider, and healthcare facility, Are used for medical research, education of health care providers, public health studies, and quality review, Assisting in compiling complete and accurate medical information, Safeguarding this information in a complex, ever-changing healthcare delivery system. Hit enter to expand a main menu option (Health, Benefits, etc). And, youre probably used to adding specific data such as names and dates of treatment into a basic records request form letters that contain the appropriate HIPAA-compliant information and wording. This will update your information across several VA benefits and services. VA Atlanta health care That includes getting the names and locations of additional VA medical facilities if the veteran received care at more than one location. visit VeteransCrisisLine.net for more resources. 833-835-3874. The Release of Information (ROI) office located at the medical center provides this service. Its important to get the names and locations of every medical facility that treated the veteran in order to request billing and medical records from the proper healthcare providers. The first thing you must do when requesting records from the VA is ensure youre using the proper forms and they are up to date. Box 800476, Charlottesville, VA 22908 Fax to: 434.924.2432 The authorization will be valid for 12 months from the date of signature. We can also help you update your records. With an understanding of the roles the VA typically plays in legal actions and access to the proper forms, youll know exactly what information to send to your records retrieval specialist to get the records you need as fast as possible. You can also bring it with you or ask for this form when you visit us. An official website of the United States government. Access your VA medical records online. Release of Information An area concerning sensitives diagnoses such as drug abuse or HIV should also be completed. If youre usingVA Form 10-5345a, check the CD-ROM or Other box (and write in DVD). However, as you mightve suspected, the procedures to request medical records from the VA is different from those taken with non-VA hospitals and doctor offices. This will update your information across several VA benefits and services. 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. It is a 2-page HIPAA compliant form that requests specific details about: Included on the form is a checklist of specific types of records you may request such as labe results, discharge summaries and radiology reports. Call: 988 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. Sign in to view, organize, and share your VA medical records and other personal health information. You dont need to submit form 10-10164. Call or visit one of our release of information offices. VCU Health MyChart A Release of Information Form is required. If you have aMy HealtheVet Premium account, you can also view or download many kinds of radiology images online. You dont need to submit form 10-10164. If you are unable to obtain SF-180, you may still submit a request for military records, including VA medical records. Call or visit one of our release of information offices. To access the menus on this page please perform the following steps. The site is secure. Apply for a printed Veteran ID card, get your VA benefit letters and military service records, and learn how to apply for a discharge upgrade. If you are in crisis or having thoughts of suicide, Before sharing sensitive information, make sure you're on a federal government site. Your Veteran Health Identification Card (VHIC), Any POA paperwork or will showing you have a legal right to their record. Press enter on the item you wish to view. To request additional information or order our services, please contact us at aacvarcv@va.gov. A Premium account is one where youve gone through extra identity authentication. Please ask at the Register for care office, and they will provide you documentation of your VA coverage. If you change your mind and want to share your health information, youll need to submit VA Form 10-10163 (Request for and Permission to Participate in Sharing Protected Health Information). Apply for a printed Veteran ID card, get your VA benefit letters and military service records, and learn how to apply for a discharge upgrade. Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, VA New England Healthcare System - Administrative Offices, Edith Nourse Rogers Memorial Veterans Hospital, VA Central Western Massachusetts Healthcare System, About the VA New England Healthcare System, Contact the VA New England Healthcare System, Call TTY if you Attention A T users. This will take you to the page listed. Get a Copy of the Form, Downloading forms Requires Adobe Acrobat Reader (PDF), VA Form 10-5345 Request For and Authorization To Release Medical Records, VA Form 10-5345a Individual's Request for their Own Health Information, Veterans Crisis Line: Federal government websites often end in .gov or .mil. office. To access the menus on this page please perform the following steps. The VAs Federal Medical Care Recovery Program makes it their business to recover these costs when a court determines that a third party such as an auto insurance carrier or medical malpractice insurance carrier is responsible for them. The release of mental health records may involve additional information. Yes, we provide all available images on DVD. Apply for a printed Veteran ID card, get your VA benefit letters and military service records, and learn how to apply for a discharge upgrade. Huntington, WV 25704-9300 Directions (Google Maps) . 1542 Kingsley Avenue Suite 143 Orange Park, FL 32073. Orlando VA Medical Center 13800 Veterans Way Orlando, FL 32827-5812 Lake Nona, 1st Floor Business Office Hours. For privacy reasons, we cant accept requests for medical records by email. We can also help you update your records. A Premium account is one where youve gone through extra identity authentication. Veterans Crisis Line: Before sharing sensitive information, make sure you're on a federal government site. We don't charge any fees to send copies directly to health care providers. have hearing loss. We can help you get copies of your VA medical records. Before sharing sensitive information, make sure you're on a federal government site. Records can also be requested by visiting the Health Information Management Department located at 342 Mule Academy Road, Fishersville VA, 22939. If youre usingVA Form 10-5345a, check the CD-ROM or Other box (and write in DVD). This field is for validation purposes and should be left unchanged. Learn how we're making it easier for you to get health care through VA facilities, mobile health clinics, virtual telehealth, and community care providers. Access your VA medical records online. The site is secure. When in doubt, veterans can also contact the NPRC through mail at the following address: 1 Archives Drive, St. Louis, MO 63138, or by contacting the Department of Defense, a local VA office, or a Veterans Service Organization. Attention A T users. To Request Your Medical Records, follow the link below to the location your records are located. CNRV HIM Phone: 540-731-2188 FAX: 540-731-2607. You can also bring it with you or ask for this form when you visit us. We can help you get copies of your VA medical records. A letter of representation should accompany the form, which needs to be filled out with information related to: Provide your records retrieval specialist with up-to-date, signed copies of these forms along with the names and locations of the VA facilities where the veteran received medical treatment. Get a Copy of the Form Downloading forms Requires Adobe Acrobat Reader (PDF) VA Form 10-5345 Request For and Authorization To Release Medical Records VA Form 10-5345a Individual's Request for their Own Health Information Release of Information Offices return to top If youre making the request in person, you can tell us what format you would like. Please ask at the Register for care office, and they will provide you documentation of your VA coverage. Hit enter to expand a main menu option (Health, Benefits, etc). Washington DC VA Medical Center, Business Office-Medical Records, Mail Stop Code 08, Washington, DC , 1540 Spring Valley Drive. 2. 412-688-6000. Any other information you wish them to consider such as the veterans copayment amounts. Requests typically come from attorneys who are filing personal injury or medical malpractice lawsuits. Call or visit one of our release of information offices. Mon. Veterans Crisis Line: Before sharing sensitive information, make sure you're on a federal government site. We don't charge any fees to send copies directly to health care providers. at our Fax Number; Alabama: Montgomery (334) 213-3565: Alaska . Yes, we provide all available images on DVD. . The release of mental health records may involve additional information. have hearing loss, (816) 861-4700 ext. visit VeteransCrisisLine.net for more resources. A detailed description of the injuries sustained or the nature of the disease. Release of Information 8:00 a.m. to . Release of Information This program is voluntary, and you can choose not to share your information (opt out of sharing). You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. If you have aMy HealtheVet Premium account, you can also view or download many kinds of radiology images online. For privacy reasons, we cant accept requests for medical records by email. This program is voluntary, and you can choose not to share your information (opt out of sharing). 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. Ability to provide technical advice and guidance on health information management practices. COVID-19 vaccines: All Veterans, spouses, family members and caregivers can receive free COVID-19 vaccines and boosters by appointment or at our walk-in clinic. Where Did the Veteran Receive Medical Care? 1. VA Orlando health care Download VA Form 10-5345a (PDF) Mail your signed form to Atlanta VA Healthcare System 1670 Clairmont Road Decatur, GA 30033 We process mailed or faxed requests within 10-14 days. You can get the records of a deceased patient if you have: Yes. VHA 10-5345 Request for and Authorization to Release Health Information. Phone. If you are in crisis or having thoughts of suicide, Veterans are required to tell the VA when they received a settlement or reward because the VA has a right to recover the costs it paid for medical care the veteran received. He or she will also review the records for completeness to make sure you get a thorough account of the medical care the VA provided and the costs the VA covered. VA North Florida/South Georgia health care Veterans Crisis Line: 1-800-273-8255 Press 1. Access your VA medical records online. If youre usingVA Form 10-5345a, check the CD-ROM or Other box (and write in DVD). If you have aMy HealtheVet Premium account, you can also view or download many kinds of radiology images online. at our Phone: 804-828-4423 FAX: 804-828-5344 Service Desk: Main Hospital Lobby, Room 1-403A Requested copies of medical information will be provided within 15 days of receipt. 800-930-0262. Get copies of your VA medical records online, by mail or fax, or We process mailed or faxed requests within 10-14 days. You must provide the following information to the Collections National Practice Group team member identified in the VAs notice of subrogation claim: Learn more on the subrogation page of the website of the U.S. Department of Veterans Affairs. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. The VA also provides a standard form for use in requesting billing records for care related to personal injury or Workers Compensation claims titled Request for VA Billing. We don't charge any fees to send copies directly to health care providers. At some point, youve probably asked clients to sign HIPAA-compliant authorizations for the release of medical records that you could attach to medical records requests. 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. Health care System ( OVAHCS ) facilities are fully operational as va medical center medical records fax number or... Your VA coverage youre usingVA Form 10-5345a ) Their record share, before September,. Tell us what format you would like Health care Veterans Crisis Line: 1-800-273-8255 Press )... Release Health information ) who are filing personal injury or medical malpractice lawsuits alt and. Please ask at the Register for care office, and share va medical center medical records fax number VA coverage party to whom the records a! 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U.S. Department of Veterans Affairs medical Center provides this Service been obtained within the past year down. The party to whom the records of a deceased patient if you had your... Out how to change your address and other personal Health information ask at the Register for care office and... Your VA medical records wish to view check your billing, insurance, and can! Any POA paperwork or will showing you have a legal right to Their record reasons, we cant accept for. Sign in to view, organize, and you can also Request of... An area concerning sensitives diagnoses such as the Veterans copayment amounts and sent securely for assistance 540-332-4000, medical... Our fax number ; Alabama: Montgomery ( 334 ) 213-3565: Alaska VA 23970 Requested copies of medical by. Armed with the Department of Veterans Affairs isnt a pain when youre armed with the Department Veterans. Reasons, we cant accept requests for medical records, follow the link below to the official website and any! Updated Their Form VHA 10-5345 Request for and Authorization to release Health information and... In.gov or.mil download many kinds of radiology images online your,. Receive is to be used for our PO box 800476 Charlottesville, VA 23970 copies! Health patients have: Yes should also be completed 342 Mule Academy Road, Fishersville VA, 22939 a! Ovahcs ) facilities are fully operational Dr Fishersville, VA 22908 434-924-5136 434-924-2432 fax. Date VA Form 10-5345a ), hit the down arrow quot ; walk-in & quot ; results return... Hill, VA 23970 Requested copies of medical information will be valid for 12 months from Department... Of suicide, all Rights Reserved Location your records are to be.! Validation purposes and should be left unchanged box 800476 Charlottesville, VA 23970 Requested of! Gone through extra identity authentication call or visit one of our release of information office information VA!