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VA NY Harbor Health Care System

 

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 the Outpatient Center on the ground floor.

How to Request Information

To request a medical record, please select one of the forms from the right column, enter the requested information, sign the form and mail it to the following address:

VA New York Harbor Healthcare System
Brooklyn Campus
Business Office
Release of Information
1st Floor, Room 1-226
800 Poly Place
Brooklyn, NY 11209
718-836-6600 x3190

Monday-Friday
9am-4pm
VA New York Harbor Healthcare System
Manhattan Campus
Business Office
Release of Information
1st Floor, Room 1115AC
423 East 23 Street
New York, NY 10010
212-686-7500 x3640

Monday-Friday
9am-4pm
VA New York Harbor Healthcare System
St. Albans
Community Living Center
Business Office
Release of Information
179-00 Linden Blvd
Jamaica, NY 11425
718-526-1000

Monday-Friday
9am-4pm


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.

 

Contact

Brooklyn Campus
Business Office
1st Floor, Room 1-226
718-836-6600 Ext. 3190

Manhattan Campus
Business Office
1st Floor, Room 1115AC
212-686-7500 Ext. 3640

St. Albans Community Living Center
Business Office
Release of Information
718-526-1000