United States Department of Veterans Affairs
United States Department of Veterans Affairs

James E. Van Zandt Altoona VAMC

Release of Information

Our Release of Information staff will be happy to assist you with requests for your medical records. We also assist providers with completing forms for patients.

We can assist you with the following:

  • access to your medical records
  • obtaining copies of your medical records
  • requests to amend your medical records
  • completion of forms for benefits, insurance, and other reasons

The Release of Information staff is expert in our patients' rights and their medical records.

The Release of Information Office is located in the main building, 1st floor, room 193F.

How to Request Information

To request a medical record, please select the appropriate form listed in the column to the right, complete the requested information, sign the form, and mail it to the following address:

James E. Van Zandt VA Medical Center
Release of Information (10M)
2907 Pleasant Valley Blvd.
Altoona, PA 16602

Because forms must contain an original signature, e-mailed forms cannot be accepted.

Processing of requests for records may take approximately 20 business days.

Fees

There is no cost to send copies directly to another health care provider. If copies are for a patient's personal use, photocopying fees may be assessed.

 


Patient Information

Patient Information
Eligibility
Make, Change, or Cancel an Appointment
Advance Directives
Patient Education
Customer Service
Discharge
Billing and Insurance
Release of Information

Release of Information Forms

pdf document Request for and Authorization to Release Medical Records or Health Information (VA 10-5345)
pdf document Individuals' Request for a Copy of Their Own Health Information (VA 10-5345a)

Related Links

Notice of Privacy Practices