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 Staff is expert in our patients' rights and their medical records.

The Release of Information Office is located in Building 3, First Floor, Health Administration Service Suite

Telephone Number: 704-638-9000 ext 2610 or 2601

FAX Number: 704-645-6279

How to Request Information

To request a medical record, please 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 Medical Center
Attn: Release of Information HAS (136C)
1601 Brenner Avenue
Salisbury, NC 28144

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

Requests for records will take approximately 10-14 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 be assessed.

Freedom of Information Act (FOIA) Request

The Freedom of Information Act allows any person most persons to request information about organizations, businesses, investigations, historical events, incidents, groups, or deceased persons.
To submit a Freedom of Information Act (FOIA) request click the email link below:

mailto:VHASBY%20FOIA?subject=FOIA%20Request

e-mail format:
• Provide your complete name and mailing address. Telephone, fax, and e-mail addresses are optional.
• Reasonably describe the records so that they may be located with a reasonable amount of effort.
• State your willingness to pay applicable fees or provide a justification to support a fee waiver.

Click here to view the different types of FOIA requester categories.

Click here to view Sample FOIA Request

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