Aug 3, 2023 · Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital.
People also ask
What is a VA form 4142?
Can the VA see my civilian medical records?
How do I authorize the VA to disclose my personal information?
What is the VA authorization for release of medical information?
RESPONDENT BURDEN: We need this information and your written authorization to obtain your treatment records to help us get the information required to process ...
21-4142. EXISTING STOCKS OF VA FORM 21-4142, SEP 2003,. WILL BE USED. 1. LAST NAME - FIRST NAME - MIDDLE NAME OF VETERAN (Type or print). 3. CLAIMANT'S NAME ...
Jan 11, 2024 · It's exactly what the form title states, an authorization for release of your medical information so the VA can properly decide your claim. The ...
Small scale configuration of Dots & Spots. Blue, Grey and White dots are blended over a light grey background, creating an overall blue-grey laminate design ...
Methadone Hydrochloride. Strength: 10 mg; Imprint: 54 142; Color: White; Shape: Round. View details. Pill 4142 logo White Oval is Multaq.
Home → VA Commonly Used Forms → VA Compensation and Pension Forms → VA Form 21-4142 - Authorization for Release of Information ...
A medium carbon alloy steel with excellent toughness, ductility, wear resistance, and strength, 4142 is popular for a wide range of applications. It can be ...
4142 CFHT is a chromium-molybdenun alloy steel that has been hardened to 27 to 32 Rockwell C and is ready to use while still machinable and of exceedingly ...
