# VA Form 10-5345a

URL: https://pdf.net/pdf-forms/healthcare-forms/va-form-10-5345a
Category: Healthcare Forms
Attributes: Official IRS form, Trusted by accountants

VA Form 10-5345a is a document veterans use to request a copy of their own health information maintained by the Department of Veterans Affairs.

You’ll find a short, fillable VA Form 10-5345a on our website, where you can immediately complete it and prepare it for submission. Simply open it in our PDF editor and use the **Text** tool to type directly on the document.

## Versions

- 2023 — [download PDF](https://cdn.sanity.io/files/i16te7yp/production/a5cc86bb94708b0e1e71e61cbbc8b9f2bbb67a04.pdf)

## How to Fill Out VA Form 10-5345a

Step 1: Open VA Form 10-5345a in our PDF editor.

Step 2: Add your personal details and information about the VA facility that should release your health records.

Step 3: Provide details about the requested health information, according to the VA Form 10-5345a instructions.

Step 4: Explain how you want the information to be delivered to you (e.g., paper, email, in-person pickup).

Step 5: Sign and date the document.

Step 6: Submit it to the Release of Information office.

## Facts

### What Is VA Form 10-5345a Used For?

VA Form 10-5345a is used to request a copy of your own health information from the Department of Veterans Affairs. By submitting this document, veterans can view their inpatient treatments, lab results, vaccination reports, and active medications.

### Who Should Use VA Form 10-5345a?

VA Form 10-5345a should be used by veterans who want to access their health information for personal use or for health insurance purposes.

### When Is the VA Form 10-5345a Due?

VA Form 10-5345a has no fixed due date, as it is filled out and submitted whenever you need to request health information. It’s only important to keep in mind that it might take a few weeks to process, so you can plan accordingly.

### What Happens If VA Form 10-5345a Is Not Submitted?

If VA Form 10-5345a isn’t submitted, the VA won’t be authorized to release your health information, so you won’t receive it. However, other than potential delays in disability claims and similar cases, there are no penalties.

### How and Where Do I File VA Form 10-5345a?

You should file VA Form 10-5345a with the Release of Information office at your local VA facility, either online, by mail, fax, or in person.

## Related forms

- [DD Form 2870](https://pdf.net/pdf-forms/healthcare-forms/dd-form-2870)
- [VA Form 21-526EZ](https://pdf.net/pdf-forms/military-forms/va-form-21-526ez)
- [VA Form 3288](https://pdf.net/pdf-forms/legal-forms/va-form-3288)
- [Form SSA-827](https://pdf.net/pdf-forms/legal-forms/ssa-827-form)
- [VA Form 21-0781](https://pdf.net/pdf-forms/military-forms/va-form-21-0781)