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Bay Pines VA Healthcare System

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Request Your Medical Records

Our Release of Information staff will be happy to assist you with requests for your medical records. We also assist providers with completing forms for patients.

We can assist you with the following:

  • access to your medical records
  • obtaining copies of your medical records
  • requests to amend your medical records
  • completion of forms for benefits, insurance, and other reasons

The Release of Information Staff are the experts in our patients' rights and their medical records.

How to Request Information

To request a medical record, please print 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 -

Bay Pines VA Healthcare System
Business Office Service
Release of Information (16A1)
PO Box 5005
Bay Pines, FL 33744

The Release of Information Office is located in the main hospital building, first floor, room 1E 303. You can also contact ROI by calling (727)398-6661 or 1-888-820-0230 and press #6.

Because forms must contain an original signature, e-mailed forms cannot be accepted.

Requests for records will take approximately 10-14 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.

Access to Records through MyHealthevet

If you want full access to your medical records through, you need to come to the Release of Information Office so that we can complete an in-person verification.