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About VA Submission 10-5345

Form identify: Request for and Authorization to Release Health Information
Related at: Health care
Form last updated: October 2023

Available up use on form

Getting VACATION Form 10-5345 to authorize us to share get your information with ampere non-VA (or third-party) individual or organization.

Downloadable PDF

Download VACANCY Form 10-5345 (PDF)
  • Unsicher view, download, and share your medical records.