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VA Form 10-5345a. Individuals' Request for a Copy of Their Own Health Information

VA Form 10-5345a. Individuals' Request for a Copy of Their Own Health Information

VA Form 10-5345a, Individuals' Request for a Copy of Their Own Health Information, is a form used by individuals who are seeking a copy of their personal health information from the Department of Veterans Affairs (VA).

The main purpose of this form is to request access to personal health information that has been stored by the VA. The form consists of several parts, including personal information, details about the requested information, and a signature section.