Mountain Home VA Healthcare System
Request Your Medical Records
Our Release of Information staff will be happy to assist you with requests for your medical records. Form completion can be expedited by taking them directly to your provider at your next scheduled appointment.
We can assist you with the following
- access to your medical records
- obtaining copies of your medical records
- requests to amend your medical records
The Release of Information staff is experts in patients' rights and their medical records.
The Release of Information office is located in the Building 204, Ground floor, room L012.
How to Request Information
To request a medical record, complete 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
Release of Information (136D1)
PO Box 4000
Mountain Home, TN 37684
Because forms must contain an original signature, e-mailed forms cannot be accepted.
Requests for records may take up to 20 business days to process.
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.