Tennessee Valley Healthcare System

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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 are experts in our patients' rights and their medical records.

The Release of Information Office is located in the first floor of the Nashville Campus in Room 1-E106 and Building 2, Room 15 at the Alvin C. York Campus.

How to Request Information

To request a medical record, please one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to one of the following addresses:

Nashville Campus:
VA Tennessee Valley Healthcare System
1310 24th Avenue South
Attn: Release of Information
Nashville, TN 37212-2637

Alvin C. York Campus:
VA Tennessee Valley Healthcare System
3400 Lebanon Pike
Attn: Release of Information
Murfreesboro, TN 37129

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.

Release of Information (ROI) Brochure

The Chief Business Office (CBO) has published a Release of Information (ROI) brochure for Veterans. This brochure provides information to the Veteran regarding VHA’s process to protect their privacy regarding sensitive diagnoses.

In order for VA to bill third party insurance companies for sensitive diagnoses (i.e. alcoholism/alcohol abuse, drug abuse, infection or testing of HIV, and sickle cell anemia), VA must first obtain an ROI authorization form from the Veteran allowing the release of the sensitive information.

The brochure is available as a PDF document from the following links:

http://www.va.gov/healthbenefits/resources/publications/IB10-493_ROI_brochure_final_508.pdf (English version)

http://www.va.gov/healthbenefits/resources/publications/IB10-510_ROI_brochure_spanish.pdf (Spanish version)

Contact

Release of Information Office
Nashville Campus
Room 1-E106

Release of Information Office
Alvin C. York Campus
Building 2, Room 15