United States Department of Veterans Affairs
United States Department of Veterans Affairs

VA Heartland Network VISN 15

Medical Record Release

Medical information can only be released with your written consent (or by power of attorney).  The Release of Information (ROI) office located at the medical center provides this service. The release of all medical information (medical records, x-rays, disability forms, etc.) to another physician, provider or party must be accomplished through the Release of Information office.  A Release of Information Form is required. The release of mental health records may involve additional information.

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VA Form 10-5345 Request For and Authorization To Release Medical Records

VA Form 10-5345a Individual's Request for their Own Health Information

Release of Information Offices

VA Medical Center

Phone

FAX

Columbia, Missouri (573) 814-6002 ext. 3174 (573) 814-6441
Kansas City, Missouri (816) 861-4700 ext. 57566, 57567 or 57569
Leavenworth Kansas (913) 682-2000 ext. 52360
Marion, Illinois (618) 997-5311 ext. 4298 (618) 993-4177
Poplar Bluff, Missouri (573) 778-4739 (573) 778-4158
St. Louis, Missouri (314) 289-6553 (314) 289-7059
Topeka, Kansas (785) 350-3111 ext. 54407
Wichita, Kansas (316) 651-3620 (316) 651-3671