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

Orlando VA Medical Center

Release of Information

Our Release of Information staff will be happy to assist you with requests for your medical records.

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
  • MyHealtheVet In-Person Authentication

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

The Release of Information Office is located on the first floor, room 1207. Phone number: 321-397-6181

How to Request Information

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

Orlando VA Medical Center
5201 Raymond St
Release of Information
Orlando, FL 32803

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

Requests for records will take approximately 10-20 business days to process.

 


Patient Information

Patient Information
Eligibility
Make, Change, or Cancel an Appointment
Patient Education
Customer Service
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