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

Miami VA Healthcare System

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 in the Main building, 2nd floor, room 2E100.

How to Request Information

To request a medical record, please 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 —

Miami VA Healthcare System
Medical Administration Service 136D
Release of Information
1201 N.W. 16th St.
 Miami, Florida 33125

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

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

Consent or authorization for release of information by a specific individual, physician or insurance company allows the hospital to send copies of information contained in a patient's medical record to another provider who may also be treating the patient, to other agencies/organizations for benefits consideration, or to the patient him/herself.

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.

Contact Information

The Release of Information supervisor may be contacted by calling (305) 575-7000, extension 3011. The fax number is (305) 575-7236.


Patient Information
Arrow Patient Information
Arrow Eligibility
Arrow Make, Change, or Cancel an Appointment
Arrow Refill a Prescription
Arrow Advance Directives
Arrow Patient Education
Arrow Customer Service
Arrow Discharge
Arrow Billing and Insurance
Arrow Release of Information
Arrow Operations Enduring Freedom and Iraqi Freedom Service Members - OEF/OIF
Arrow Minority Veterans
Release of Information Forms
pdf document Request for and Authorization to Release Medical Records or Health Information (VA 10-5345)hyperlink opens in a new browser
pdf document Individuals' Request for a Copy of Their Own Health Information (VA 10-5345a)hyperlink opens in a new browser 
Related Links
pdf document Notice of Privacy Practiceshyperlink opens in a new browser
Adobe pdf Document format You must have at least Adobe Reader version 6.0 on your computer to view documents on this site. You can download software at: Free Adobe Reader Downloadhyper link opens in a new browser window **
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