Authorize the release of non-VA medical information to VA

Complete this form if you want to give us permission to request your records from a non-VA source to support your benefit claim. You can also use this form to authorize the release of records on behalf of a Veteran you support.

What to know before you submit this form

• If you already provided your private, non-VA medical records to us, or if you intended to get them yourself, you don’t need to submit this form. Submitting the form in this case will add time to your claim process.
• You don’t need to submit this form to request VA medical records.
• By law, we can’t pay any fees that may come from requesting your medical records.