Official VA Form

VA Form 10-0527

Request and Authorization to Release Protected Health Information to the Choice/PC3 Program

VA Form 10-0527 — Request and Authorization to Release Protected Health Information to the Choice/PC3 Program is an official U.S. Department of Veterans Affairs form. The current version was last revised 2015-06-25. 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) →

Frequently asked questions

What is VA Form 10-0527 used for?

Request and Authorization to Release Protected Health Information to the Choice/PC3 Program. It is an official VA form, administered by VHA.

Where can I download the current VA Form 10-0527?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/10-0527_Choice_fill.pdf (last revised 2015-06-25).

How long is VA Form 10-0527?

VA Form 10-0527 is 1 page long, last revised 2015-06-25.

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

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