United States Department of Veterans Affairs
United States Department of Veterans Affairs

VA Northern California Health Care System

Release of Information

Our Release of Information staff will be happy to assist you with requests for your medical records.

We can assist you with the following —

  • access to your medical records
  • obtaining copies of your medical records
  • requests to amend your medical records

A Release of Information Office is located at each medical facility.

How to Request Information

To request a medical record, please download one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to the following address —

Sacramento VA Medical Center
Release of Information Office
10535 Hospital Way
Mather, CA 95655

Because forms must contain an original signature, e-mailed forms cannot be accepted.

Fees

Photocopying fees may be assessed.

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Patient Information

Patient Information
Eligibility
Appointments
Advance Directives
Patient Health Education
Patient Rights and
Responsibilities
Reporting Safety or Quality Care Issues
Customer Service
Discharge
Billing and Insurance
Release of Information

Release of Information Forms

Request for and Authorization to Release Medical Records or Health Information (VA 10-5345) (412 KB, PDF)
Individuals' Request for a Copy of Their Own Health Information (VA 10-5345a) (774 KB, PDF)

Related Links

Notice of Privacy Practices