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The LAJVAMC will host a light up night event titled: VA's Shining Tribute to Our Heroes!
Wed, Dec. 4, 5:00pm to 7:00pm at the main entrance of the hospital.
Open to the public. This year, we are excited to unveil multiple commercial light displays for the first time. Refreshments will be served. 

Medical records office

Get copies of your VA medical records online, by mail or fax, or in person at our VA Clarksburg health care Release of Information office.

Get your records online

Access your VA medical records online. Sign in to view, organize, and share your VA medical records and other personal health information. We don't charge any fees to send copies directly to health care providers.

Get your records in person

We can help you get copies of your VA medical records. We can also help you update your records. Call or visit one of our release of information offices.

What to bring

  • A completed and signed Individuals’ Request For a Copy of Their Own Health Information (VA Form 10-5345a). Download VA Form 10-5345a (PDF)
  • Your Veteran Health Identification Card (VHIC)

Release of Information office locations

1 Medical Center Drive Clarksburg, WV 26301-4155
Release of Information Office
Main Building 1st Floor, Room 1232E
Release of Information Office Phone Number
Release of Information Office Fax Number
Service Hours
  • Mon. 8:00 a.m. to 4:30 p.m.
  • Tue. 8:00 a.m. to 4:30 p.m.
  • Wed. 8:00 a.m. to 4:30 p.m.
  • Thu. 8:00 a.m. to 4:30 p.m.
  • Fri. 8:00 a.m. to 4:30 p.m.
  • Sat. Closed
  • Sun. Closed

Get your records by mail or fax

To request a copy of your VA medical records by mail or fax, send a signed and completed VA Form 10-5345a to our Release of Information office.

Download VA Form 10-5345a (PDF)

Mail your signed form to

1 Medical Center Drive
Mail Code 136-ROI
Clarksburg, WV 26301

Fax your signed form to

We process mailed or faxed requests within 10-14 days. For privacy reasons, we can’t accept requests for medical records by email.

How we share your records with providers outside VA

The Veterans Health Information Exchange (VHIE) program lets us electronically share your health information with health care providers who treat you, including participating non-VA providers if you receive care outside of VA.

This program is voluntary, and you can choose not to share your information (opt out of sharing).

Learn more about VHIE

To opt out of sharing

Fill out, sign, and date VA Form 10-10164 (Opt Out of Sharing Protected Health Information).

Mail the signed, completed form to our ROI office. You can also bring it with you or ask for this form when you visit us.

Download VA Form 10-10164 (PDF)

Note: If you had revoked your permission to share, before September 30, 2019, your opt out status will stay active. You don’t need to submit form 10-10164.

To allow sharing after opting out

If you change your mind and want to share your health information, you’ll need to submit VA Form 10-10163 (Request for and Permission to Participate in Sharing Protected Health Information).

Mail the signed, completed form to our ROI office. You can also bring it with you or ask for this form when you visit us.

Download VA Form 10-10163 (PDF)

Questions about medical records

You can get another person's medical records if you’re listed as having Power of Attorney (POA) or you’re the patient’s next of kin.

You can get the records of a deceased patient if you have:

  • A copy of their death certificate
  • A valid photo ID for yourself
  • Any POA paperwork or will showing you have a legal right to their record

Yes. If you’re making the request in person, you can tell us what format you would like. If you’re using VA Form 10-5345a, check the “CD-ROM” or “Other” box (and write in DVD).

Yes, we provide all available images on DVD.

If you have a My HealtheVet Premium account, you can also view or download many kinds of radiology images online. A Premium account is one where you’ve gone through extra identity authentication. 

Please ask at the Register for care office, and they will provide you documentation of your VA coverage.