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This form allows you to authorize the Department of Veterans Affairs (VA) to obtain your medical records from a provider or facility. You need to fill in your name, Social Security number, VA …
- File Size: 1MB
- Page Count: 2
See results only from vba.va.govAbout VA Form 21-4142a
Use VA Form 21-4142 to give us permission to obtain your personal information from …
VA Form 21-4142
Use this form to provide your written authorization to obtain your treatment …
About VA Form 21-4142
Get VA Form 21-4142, Authorization to Disclose Information to the Department …
Supporting Forms For VA …
VA Form 21-4142 is used to give VA permission to request your medical …
About VA Form 21-4142a - Veterans Affairs
Sep 20, 2024 · Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal information may …
Use this form to provide your written authorization to obtain your treatment records, so the VA can get the information required to process your claim. The form is not fillable online, but you …
- File Size: 1MB
- Page Count: 5
About VA Form 21-4142 - Veterans Affairs
Sep 20, 2024 · Get VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA). Use this form to give VA permission to obtain your personal information …
Supporting Forms For VA Claims - Veterans Affairs
Jul 26, 2024 · VA Form 21-4142 is used to give VA permission to request your medical records and information from non-VA sources to support your benefit claim. You can submit this form …
VA Form 21-4142A - Fill Out, Sign Online and …
Download Fillable Va Form 21-4142a In Pdf - The Latest Version Applicable For 2024. Fill Out The General Release For Medical Provider Information To The …
- Reviews: 38
Download and fill out VA Form 21-0781 to support your claim for mental health disorder(s) due to an in-service traumatic event(s). Learn what to include, what form is required, and what …
VA Form 21-4142: A 4-Step Quick Guide for Veterans
Apr 4, 2023 · VA Form 21-4142 is a form that permits the release of a veteran’s records to the VA from non-VA sources, such as hospitals or private doctors. Learn how to fill out the form, what information to include, and how to submit it …
Find A VA Form | Veterans Affairs
Oct 12, 2022 · Search for a VA form by keyword, form name, or form number on the official website of the U.S. Department of Veterans Affairs. You can also manage your VA benefits …
Download and print the PDF form to apply for veterans disability compensation and related benefits. Learn how to submit your claim, what evidence to provide, and how to participate in …
VA Asking for a Form 21-4142. What is this? : r/VeteransBenefits
Complete and return the enclosed VA Form 21-4142, Authorization to Disclose Information and VA Form 21-4142a, General Release for Medical Provider Information, so that we can obtain …
VA 21-4142 vs VA 21-4142a difference?? : r/VeteransBenefits
I am very confused about the difference between the forms VA 21-4142 and 21-4142a. I called a representative this morning at the VA, and she did not really know either and told me to fill out …
- [PDF]
VA Form 21-4142a
Use this form to provide the name of the provider or facility you have received treatment from to the VA. For more information, contact us at . https://iris.custhelp.va.gov, or call us toll-free at 1 …
You can provide this authorization by signing VA Form 21-4142. Federal law permits sources with information about you to release that information if you sign a single authorization to release all …
Form VBA-21-4142-ARE...Be careful... - Veterans Benefits Network
Nov 9, 2010 · Be careful when and if you fill out the form to let the VA get your medical files for you. The form is: AUTHORIZATION AND CONSENT TO RELEASE INFORM
21-4142 : r/VeteransBenefits - Reddit
Why would the VA send this form 21-4142 despite having upload medical records? Seems like a tactic to delay veterans claim process. Please correct me if I am wrong.
This form is used by veterans who have filed a claim for disability benefits and need their employer to provide information about their work history and benefits. The form can be …
About VA Form 21-22 - Veterans Affairs
May 15, 2024 · Use VA Form 21-22 to authorize a Veterans Service Organization (VSO) to assist you with VA benefits or claims. Learn when to use this form, how to download it, and what …
VA asking for Form 21-4142/4142A and i selected to request a
I just noticed today that about a week ago the VA requested additional documents from me, specifically the VA 21-4142/4142A. I know what these are for, but I submitted a fully developed …
Multiple request for form 21-4142 : r/VeteransBenefits - Reddit
Now again on January 3rd, 2023, they are requesting form 21-4142 for the third time. I called again and she said the same thing they see all 3 submissions. I asked her to dig a little deeper …
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