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Veteran Health Indiana

 

Request Your Medical Records

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

The Release of Information staff is expert in our patients' rights and their medical records.

The Release of Information office is located in the basement of the A-Wing, room AB-154, 8 am - 3:30 pm.

How to Request Information

To request a medical record, please use 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 —


Richard L. Roudebush VA Medical Center
Attn: Release of Information
1481 West 10th Street.
Indianapolis, IN 46202

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

Requests for records will take approximately 10-14 business days to process.

Requests for records will take approvimately 20 business days to process. If more time is needed to process, a letter will be mailed to inform the requester.

Fees

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.

Quick Reference Guide

Download this Quick Reference to help you with your ROI needs.

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