VA Form 10-0525 Revocation of Restriction for Release of Individually-Identifiable Health Information Through Ehealth Exchange

VA Form 10-0525 Revocation of Restriction for Release of Individually-Identifiable Health Information Through Ehealth Exchange

What Is VA Form 10-0525?

This is a legal form that was released by the U.S. Department of Veterans Affairs on February 1, 2014 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VA Form 10-0525?A: VA Form 10-0525 is a form used to revoke a restriction on the release of individually-identifiable health information through the eHealth Exchange.

Q: What is the purpose of VA Form 10-0525?A: The purpose of VA Form 10-0525 is to allow individuals to revoke their consent for the release of their health information through the eHealth Exchange.

Q: Who can use VA Form 10-0525?A: Any individual who previously consented to the release of their health information through the eHealth Exchange can use VA Form 10-0525 to revoke that consent.

Q: What is the eHealth Exchange?A: The eHealth Exchange is a network that allows for the secure exchange of health information between authorized healthcare providers.

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Form Details:

  • Released on February 1, 2014;
  • The latest available edition released by the U.S. Department of Veterans Affairs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of VA Form 10-0525 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 10-0525 Revocation of Restriction for Release of Individually-Identifiable Health Information Through Ehealth Exchange

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  • VA Form 10-0525 Revocation of Restriction for Release of Individually-Identifiable Health Information Through Ehealth Exchange, Page 1
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