VA Form 10-10164 Opt-Out of Sharing Protected Health Information Through Health Information Exchanges

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VA Form 10-10164 Opt-Out of Sharing Protected Health Information Through Health Information Exchanges

What Is VA Form 10-10164?

This is a legal form that was released by the U.S. Department of Veterans Affairs on October 1, 2019 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 10-10164?
A: VA Form 10-10164 is a form used to opt-out of sharing protected health information through health information exchanges.

Q: What does it mean to opt-out of sharing protected health information?
A: Opting out of sharing protected health information means that your health information will not be shared through health information exchanges.

Q: What are health information exchanges?
A: Health information exchanges are networks that allow healthcare providers to share patient health information securely and electronically.

Q: Why would someone want to opt-out of sharing their protected health information?
A: Someone may want to opt-out of sharing their protected health information due to privacy concerns or personal preferences.

Q: How can I fill out VA Form 10-10164?
A: You can fill out VA Form 10-10164 by following the instructions provided on the form and providing the necessary information.

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Form Details:

  • Released on October 1, 2019;
  • 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;

Download a fillable version of VA Form 10-10164 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 10-10164 Opt-Out of Sharing Protected Health Information Through Health Information Exchanges

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  • VA Form 10-10164 Opt-Out of Sharing Protected Health Information Through Health Information Exchanges, Page 1
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