VA Palo Alto Health Care System
Request Your Medical Records
![Employee handing form and clipboard to patient](/was/20160311035137im_/http://www.paloalto.va.gov/images/roi100.jpg)
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, date the form, and mail it to the following address:
VA Palo Alto Health Care System
Release of Information (11MR)
3801 Miranda Avenue
Palo Alto, CA 94304
You can also fax request to (650) 617-2603.
Because forms must contain an original signature, emailed forms cannot be accepted.
How to request information (walk-ins)
Call us toll-free at 1-855-780-7962, or (650) 849-0403 for more information.
Facility | Open | Location |
---|---|---|
Palo Alto | Mon-Fri 8:00 a.m.-noon 1:00 p.m.-4:30 p.m. |
Building 100 First Floor Room F1-115 |
Menlo Park | Mon-Fri 8:00 a.m.-4:30 p.m. |
Building 334 First Floor Room A102A |
Livermore | Mon-Fri 8:00 a.m.-4:30 p.m. |
Building 62 Second Floor Room 230 |
San Jose | Mon-Fri 8:00 a.m.-4:30 p.m. |
Main Building Room A304 |
Monterey | Mon-Fri 8:00 a.m.-4:30 p.m. |
Main Building Room B128 |