What exactly are you agreeing to when you sign the Authorization and Consent to Release Information to the Department of Veterans Affairs (VA Form 21-4142)?
This form gives the VA consent to request and receive copies of your medical records from the health care providers you list on the forms. This includes X-rays, lab reports, results of procedures and other pertinent information.
Please note: A separate form should be sent to each provider.
For the most up-to-date version of this form, go online to www.va.gov/vaforms/ or contact your local Department of Veterans Affairs office. As mentioned above, the form number is 21-4142.
