Request Your Medical Records - Butler VA Health Care System
Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Butler VA Health Care System


Request Your Medical Records

Our Release of Information (ROI) Office will be happy to assist you with requests for your medical records. The ROI Staff is expert in our patients' rights and their medical records. We also assist VA providers with completing forms for patients. We can assist you with the following —

  • access to your medical records
  • obtaining copies of your medical records
  • requests to amend your medical records
  • completion of forms for benefits, insurance, and other reasons

How to Request Information
Prior to releasing any information, Veterans must sign a consent form (VA 10-5345) authorizing VA to release your medical records. Forms must be properly completed and mailed or presented in person – with one form of state or government-issued photo identification (driver’s license or Veteran Identification Card [VIC Card]). To request a copy of your medical information for yourself or to request copies of your medical record, lab results, x-rays, a complete VA prescription medication list, disability and/or insurance forms, etc. you must complete VA Form 10-5345a.

There is no cost to send copies directly to another health care provider. If copies are for a patient's personal use, photocopying fees may be assessed.