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VA Palo Alto Health Care System

 

Request Your Medical Records

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, date the form, and mail it to the following address:

VA Palo Alto Health Care System
Release of Information (11MR)
3801 Miranda Avenue
Palo Alto, CA 94304

You can also fax request to (650) 617-2603.

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

How to request information (walk-ins)

Call us toll-free at 1-855-780-7962, or (650) 849-0403 for more information.

Facility Open Location
Palo Alto Mon-Fri
8:00am-noon
1:00pm-4:30pm		 Building 100
First Floor
Room F1-115
Menlo Park Mon-Fri
8:00am-4:30pm		 Building 334
Second Floor
Room B203
Livermore Mon-Fri
8:00am-4:30pm		 Building 62
Second Floor
Room 230
San Jose Mon-Fri
8:00am-4:30pm		 Main Building
Room A304
Monterey Mon-Fri
8:00am-4:30pm		 Main Building
Room B128
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