Official VA Form

VA Form 10-5345a

Individuals' Request for a Copy of Their Own Health Information

VA Form 10-5345a — Individuals' Request for a Copy of Their Own Health Information is an official U.S. Department of Veterans Affairs form used for health care, records. The current version was last revised 2021-07-20. 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: 2021-07-20
First issued: 2023-09-19
Pages: 1
Administered by: VHA

Health careRecords

Frequently asked questions

What is VA Form 10-5345a used for?

Individuals' Request for a Copy of Their Own Health Information. It is an official VA form in the Health care, Records categories, administered by VHA.

Where can I download the current VA Form 10-5345a?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/VHA%20Form%2010-5345a%20Fill-revision.pdf (last revised 2021-07-20).

How long is VA Form 10-5345a?

VA Form 10-5345a is 1 page long, last revised 2021-07-20.

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

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