United States Department of Veterans Affairs

VA Puget Sound Health Care System

Release of Information

Our Release of Information Office 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 are experts in our patients' rights and their medical records.

How to Request Medical Records

To request a medical record, please one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to the following address —

Release of Information, 007-ROI
VA Puget Sound Health Care System
1660 S. Columbian Way
Seattle, WA 98108-1597

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

Requests for records will take approximately 10-14 days to process.

Contact Us

Seattle: Located in the basement of Building 100 in the Seattle Division, Room BD-140. Phone: (206) 764-2014.

American Lake: Located in Building 19 (map), Phone: (253) 583-1507.


Patient Information

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

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