VA Form 10-10172 is used by veterans to request and authorize the release of their medical records. This form facilitates the secure sharing of medical information with authorized parties, such as healthcare providers or representatives, for purposes like ongoing medical care or personal records management.

Veterans or their representatives who need to authorize the release of medical records.

It is a form used to request and authorize the release of medical records for veterans.

You can submit the form by mail or electronically through the HealthShare Referral Manager.

You should submit a corrected version of the form using the same submission method.