Official VA Form

VA Form 10-0493

Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research

VA Form 10-0493 — Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research is an official U.S. Department of Veterans Affairs form. The current version was last revised 2014-09-07. It is 1 page long. Download the up-to-date PDF below — BaseNeed syncs form data directly from VA.gov so you always get the current edition.

Download the official PDF (VA.gov) →

Last revised: 2014-09-07
First issued: 2022-12-07
Pages: 1
Administered by: VHA

Frequently asked questions

What is VA Form 10-0493 used for?

Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research. It is an official VA form, administered by VHA.

Where can I download the current VA Form 10-0493?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/10-0493-fill.pdf (last revised 2014-09-07).

How long is VA Form 10-0493?

VA Form 10-0493 is 1 page long, last revised 2014-09-07.

Always the current version — synced from VA.gov. BaseNeed is not affiliated with the U.S. Department of Veterans Affairs.

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Nearby form numbers

VA Form 10-0491K — VA Scholarship Offer Response—Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP)
VA Form 10-0491L — VA Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP) Agreement
VA Form 10-0491n — Veterans Healing Veterans Medical Access and Education Program Agreement
VA Form 10-0525 — Revocation of Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange
VA Form 10-0525a — Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange
VA Form 10-0527 — Request and Authorization to Release Protected Health Information to the Choice/PC3 Program