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Lebanon VA Medical Center

 

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. You may request a copy of your medical information for yourself or someone else that you choose. You must sign a consent form that will allow VA to release this information.

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 Building 17 on the first floor in the Business Office area, room 105. Release of Information office may be contacted at 717-272-6621, ext 6075 or 1-800-409-8771, ext 6075.

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:

VA Medical Center
Release of Information
Mailcode: 124C2
1700 South Lincoln Avenue
Lebanon, PA 17042

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

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

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.