|
Our Release of Information (ROI) 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. Confidentiality of your medical information is important to us. That means that we keep your medical information private for you and your clinical providers.
The Release of Information Office is located on the first floor of the medical center. They can be reached at (858) 642-3661. Office hours: 7:30 a.m.- 4:30 p.m.
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 -
VA San Diego Healthcare System
Release of Information (ROI) Section, Health Information Management Service (HIMS) (136D)
3350 La Jolla Village Drive, San Diego, CA 92161
Because forms must contain an original signature, e-mailed forms cannot be accepted. Requests for records will be processed within 20 working days.
For third party requests, please complete the VA Form 10-5345, Request for and Consent to Release Medical Records Protected by 38 U.S.C. 7332. That form is required for the following requests:
| State Disability Forms |
Lab Results |
| DMV Forms |
Nursing Home Applications |
| Handicap Placards |
Veterans Home Applications |
| Adult Day Care Applications |
Physical Exams for Employment |
The VA Form 10-5345 is also available at the Medical Center, Mission Valley Outpatient Clinic, and the VA Community Clinics. All forms are processed at the Medical Center. State Disability Forms may be completed by physicians, however, once completed, they must be routed through the ROI Unit to ensure that they are properly coded and that proper consent have been obtained prior to referral to the State of California.
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.
MyHealtheVet Registration |
