Corporal Michael J. Crescenz VAMC
Request Your Medical Records
Privacy and Release of Information
The VA is committed to protecting your personal information.
Your Privacy Rights
You have the right to:
- Review your health information
- Obtain a copy of your health information
- Request your health information be amended or corrected
- Request that we not use or disclose your health information
- Request that we provide your health information to you in an alternative way or at an alternative location in a confidential manner
- Receive an accounting or list of disclosures of your health information
- Receive a paper copy of VHA’s Notice of Privacy Practices upon request
If you are concerned that your privacy rights have been violated, you may file a complaint with:
- The Corporal Michael J. Crescenz VA Privacy Officer
- VA via the Internet through “Contact the VA” at http://www.va.gov; by dialing 1-800-983-0936 or by contacting the VHA Privacy Office (19F2) at 810 Vermont Avenue, NW, Washington, DC 20420.
- The U.S. Department of Health and Human Services, Office for Civil Rights or the Office of Inspector General.
Complaints do not have to be in writing, though it is recommended.
If you have questions regarding the privacy of your health information, please contact the Privacy Officer.
Release of Information (ROI)
The Release of Information Unit is located in building 1, 1st floor and is part of the Health Information Management Section (Medical Record Department).
Hours of operations Mon.-Fri., 8:00 A.M. to 4:00 P.M.
Phone Number: (215) 823-5180
Fax Number: (215) 823-5839
Staff can assist you with the following:
- Obtain a copy of your medical records
- Release of your medical information to others
- Requests to make corrections in your medical records
- Coordination of the process to have your provider complete forms for benefits, insurance and other reasons
- In-Person Authentication for access to MyHealtheVet (MHV)
Requesting Your Information
VA Form 10-5345a in order to request copies of your medical records. Your completed form can be mailed to the following address:
VA Medical Center
Release of Information
Health Administration Service
3900 Woodland Avenue
Philadelphia, PA 19104
How To Request Your Military Medical Records
Patients are entitled to a copy of their medical records.
To Request a Copy of Active Duty Health Records:
- If the Soldier retired after 16 Oct 1992, he/she should request health records at the Department of Veterans Affairs, Records Management Center, Box 5020, St. Louis, MO 63115-8950.
- If the Soldier retired before 16 Oct 1992, request health records from the National Personnel Records Center (see instructions below).
To Request a Copy of Active Duty Inpatient Records:
- Check with the Military Treatment Facility (MTF) if your hospitalization or ambulatory surgery was within 5 years at a teaching military hospital (medical center) or within 1 year at a non-teaching military hospital (see instructions below).
- If your inpatient records are not at the MTF, request them from the National Personnel Records Center (see instructions below).
To Request a Copy of Family Member or Retiree Inpatient or Outpatient Records:
- Check with the Medical Treatment Facility if you were seen recently (within 2 years from the end of the year when you were last seen) if you need your outpatient records. If you need inpatient or ambulatory surgery records, within 5 years at a teaching military hospital (medical center) or within 1 year at a non-teaching military hospital (see instructions below).
- If your medical records are not at the MTF, request them from the National Personnel Records Center (see instructions below). Complete NA Form 13042 (Request for Information Needed to Locate Medical Records).
Instructions for Requesting a Copy of Medical Records from a Military Treatment Facility:
- Go to the web site at the bottom of this page for DoD electronic forms, print out Department of Defense Form 2870 (DD Form 2870) (Authorization for Disclosure of Medical and Dental Records), complete the form, and mail or fax it to the appropriate Military Treatment Facility.
- NOTE: Each MTF has a specified time for records copying. Please be patient to ensure timely receipt of records. Request them at least 7 days prior to date you require them.
- If you are PCSing, ETSing, or retiring, ensure that you submit your request a minimum of 30 days prior to the date you require your records.
Instructions for Requesting a Copy of Medical Records from the National Personnel Records Center:
- Go to the National Personnel Records Center web site at the bottom of this page, print out Standard Form 180 (SF 180) (Request Pertaining to Military Records), complete the form, and mail it to the National Personnel Records Center, 9700 Page Avenue, St. Louis, Missouri 63132-5100 (or you may use alternate methods described on this web site).
- For persons who do not have computer access, submit a signed, dated personal letter with the Soldier or sponsor's complete name, social security number, Branch and dates of Service, approximate dates of hospitalizations, and names of Medical Treatment Facilities. Mail it to The National Personnel Records Center, 9700 Page Avenue, St. Louis, Missouri 63132-5100.
Instructions for Requesting a Copy of Medical Records from the Veteran’s Affairs Records Center:
- Go to eVetRecs website to request active duty health records (For Active Duty only).