VA255-13-R-1318 ATTACHMENT 8 - VHA FORM 10-5345 - REQUEST FOR AND AUTHORIZATION TO RELEASE MEDICAL RECORDS OR HEALTH INFORMATION

Published: 04/04/2014

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OMB Number: 2900-0260 Estimated Burden: 2 minutes REQUEST FOR AND AUTHORIZATION TO RELEASE MEDICAL RECORDS OR HEALTH INFORMATION Privacy Act and Paperwork Reduction Act Information: The execution of this form does not authorize the release of informa...

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