United States Department of Veterans Affairs

VA Palo Alto Health Care System

Get My Medical Record

Employee handing form and clipboard to patient

We can assist you with:

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.

How to Request Information (by Mail)

To request a medical record, please print 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:

VA Palo Alto Health Care System
Livermore Division
4951 Arroyo Road
Livermore, CA 94550
Phone: (925) 373-4700

Because forms must contain an original signature, emailed forms cannot be accepted.

Forms

Instructions that will assist you in filling out the forms

(VA 10-5345)
Request for Medical Record

(SF 180)
Request for Military Record

(VA 10-3203)
Authorization for Use of Picture and/or Voice

(VA 10-5345a)
My Health eVet Request Form

How to Request Information (Walk-Ins)

Dial the main number (650) 493-5000, then enter the extension when prompted.

Facility	Open	Location	Extension
Palo Alto	Mon-Fri 8 am - 4:30 pm	Building 100 First Floor Room F1-115	x66406 or x67298
Menlo Park	Tues & Thurs 8 am - 4:30 pm	Building 334 Second Floor Room B203	x22899
Livermore	Mon-Fri 8 am - 4:30 pm	Trailer 34 Room 105	x35217
San Jose	Mon, Wed, & Fri 8 am - 4:30 pm	Main Building Room A304	x73554