Official VA Form

VA Form FL-10-212

Request for Medical Records (FILLABLE)

VA Form FL-10-212 — Request for Medical Records (FILLABLE) is an official U.S. Department of Veterans Affairs form. The current version was last revised 2011-10-30. 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: 2011-10-30
First issued: 2022-09-30
Pages: 1
Administered by: VHA

Frequently asked questions

What is VA Form FL-10-212 used for?

Request for Medical Records (FILLABLE). It is an official VA form, administered by VHA.

Where can I download the current VA Form FL-10-212?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/vha-FL-10-212-fill%20(1).pdf (last revised 2011-10-30).

How long is VA Form FL-10-212?

VA Form FL-10-212 is 1 page long, last revised 2011-10-30.

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 7031D — Voluntary Service Award

VA Form FL 4-437 — Notice of Approval of Waiver Request

VA Form FL-10-15 — Solicitation Mailing List Application

VA Form FL-10-212LP — VA Request for Medical Records and/or Information - Large Print

VA Form FL-10-215 — Prosthetic Service Card Instructions

VA Form FL-10-216 — Instructions for Issuance of New Prosthetic Service Card