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 Authorization for Release of Medical Information  LifeBridge Health  Lifebridgehealth 2005

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hello welcome to legal help for veterans tutorial videos today we're going to be walking you through the request for an authorization to release medical records or health information form also referred to as be a form 10-5 three four five this form will be one of the forms sent to each client in our initial representation packet the purpose of this form is to authorize the release of your complete treatment records to this office from each respective VA medical center where you treat, although most of this form is very self-explanatory there are several common completion areas we repeatedly see veterans make during the completion of this form the first and most common issue comes right away in box number one please note that this form is only used to obtain medical records from VA and medical centers while your private treatment records can be equally important there is an alternate VA form that will authorize access to these records if you do have private medical records the correct f

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