Official VA Form

VA Form 10-0525

Revocation of Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange

VA Form 10-0525 — Revocation of Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange is an official U.S. Department of Veterans Affairs form. The current version was last revised 2014-05-25. 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: 2014-05-25
First issued: 2022-03-25
Pages: 1
Administered by: VHA

Frequently asked questions

What is VA Form 10-0525 used for?

Revocation of Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange. It is an official VA form, administered by VHA.

Where can I download the current VA Form 10-0525?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/vha-10-0525-fill.pdf (last revised 2014-05-25).

How long is VA Form 10-0525?

VA Form 10-0525 is 1 page long, last revised 2014-05-25.

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

You are not the first person to deal with this

BaseNeed is a members-only community for service members, veterans, spouses and their families. Nothing posted inside is public — not on Google, not on Facebook. That is the point: people talk about moves, money and paperwork there, and that only works behind a door.

Nearby form numbers

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 10-0493 — Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research

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

VA Form 10-0539 — Assignment of Functional Categories