Our Release of Information staff will be happy to assist you with requests for copies of your medical record. We can also help when you need forms completed by your provider.
We can assist you with the following:
The staff in Release of Information are experts in patients' rights concerning their medical record.
The Release of Information Office can be contacted at (502) 287-5719 and is located in the Medical Center on Zorn Avenue, 2nd Floor, Room B-230.
To request copies or access to your medical record, please print and fill out one of the forms listed in the column to the right, complete the requested information, sign and date the form, then mail it to us at the following address —
VA Medical Center
Release of Information (136D)
800 Zorn Avenue
Louisville, KY 40206
All forms must contain an original signature. We cannot accept copies, faxed requests, or e-mailed forms.
Requests for records generally take approximately 10-14 days to process.
If you are unable to retrieve these forms electronically, they may also be obtained from the Release of Information Office.