United States Department of Veterans Affairs
United States Department of Veterans Affairs

St. Cloud VA Medical Center

Release of Information

Our Release of Information staff will be happy to assist you with requests for your medical records. We also assist providers with completing forms for patients.

 

We can assist you with the following:

  • access to your medical records
  • obtaining copies of your medical records
  • requests to amend your medical records
  • completion of forms for benefits, insurance, and other reasons

The Release of Information Office is located in Building T100.  Enter the front door of building one and turn right at the main hallway.  T100 is the second intersecting hallway.  Turn left at the T100 sign.

 

Please call (320) 255-6336 if you have questions.

 

How to Request Information

To request a medical record, please use one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to the following address:

 

St. Cloud VA Medical Center
Release of Information
4801 Veterans Drive
St. Cloud, MN 56303

 

Because forms must contain an original signature, e-mailed forms cannot be accepted.

 

Requests for records will take approximately 5-10 days to process.

Fees

There is no cost to send copies directly to another health care provider. If copies are for a patient's personal use, photocopying fees may be assessed.

 

 

 


Patient Information

Patient Information
Eligibility
Make, Change, or Cancel an Appointment 
Advance Directives 
Patient Education
Customer Service 
Discharge
Billing and Insurance 
Release of Information 

Release of Information Forms

pdf document Request for and Authorization to Release Medical Records or Health Information (VA 10-5345) 
pdf document Individuals' Request for a Copy of Their Own Health Information (VA 10-5345a) 

Related Links

Notice of Privacy Practices