About va form 10-5345 | veterans affairs
About va form 10-5345 | veterans affairs"
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* Form name: Request for and Authorization to Release Health Information Form revision date: July 2021 Related to: Health care WHEN TO USE THIS FORM Use VA Form 10-5345 to authorize us to
share your health information with a non-VA (or third-party) individual or organization. DOWNLOADABLE PDF Download VA Form 10-5345 (PDF)
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