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

VA Northwest Health Network

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 Staff is expert in our patients' rights and their medical records.

The Release of Information Office is located at 2925 Debarr Road, 2nd floor, Room 2000A, (907) 257-4735 or toll free 1-888-353-7574, ext. 4735.

How to Request Information

To request a medical record, please one of the following forms: 

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





 

 

complete the requested information, sign the form, and mail it to the following address —

Alaska VA Healthcare System and Regional Office
Release of Information
2925 Debarr Road
Anchorage, AK  99508

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

Requests for records will take approximately 10-14 days to process.