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Salem VA Medical Center

 

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 Office is located in Buiding 2, first floor,  Room 124. Staff can be reached at (540) 982-2463, extension 1988.

How to Request Information

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

Salem VA Medical Center
Release of Information (136E5)
1970 Roanoke Boulevard
Salem, VA 24153

Because forms must contain an original signature, e-mailed forms cannot be accepted.

Requests for records will take up to 20 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 apply.

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Contact

Release of Information Office
Building 2, First floor, Room 124
540-982-2463 Ext. 1988

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