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Va Form 21 4142

Va Form 21 4142

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Instructions and help about va form 21 4142 pdf fillable

Hello and welcome back to legal help for veterans VA form assistance today we're going to be walking through our authorization to disclose information to the Department of Veterans Affairs form also referred to as VA form two one four one four two this form will be sent to any client who indicates at any point in the claims process the presence of relevant medical treatment completed by a private physician or Hospital if you are not a legal help to veterans client you are able to obtain in print this form directly from the VA s website often private physician offices or other private medical facilities charge their patients for a copy of the records generated during the given visit treatment or procedure to cover the administrative costs incurred to produce the requested record copy by using this form we're able to ask your handling VA regional office to request the private records directly from each private establishment as long as the request is generated by the regional office most

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