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
Release of Information (11MR)
3801 Miranda Ave
Palo Alto, CA 94304

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