VA Form 10-0459 – Credentialing Release of Information Authorization

VAFORMS.NETVA Form 10-0459 – Credentialing Release of Information Authorization – You may have heard of VA Form 10-0459. You may be wondering what this form is for and where to find it. This article will discuss what it is and where to find it. It will also cover the reasons why you might need to fill out the form. Afterward, you can learn where to submit the completed form.

Download VA Form 10-0459 – Credentialing Release of Information Authorization

Form Number VA Form 10-0459
Form Title Credentialing Release of Information Authorization
Edition Date March 2022
File Size 378 KB

What is a VA Form 10-0459?

When you need to submit information for credentialing, you’ll need to fill out VA Form 10-0459. The form authorizes the release of health information about you to a third-party organization or non-VA individual. The form was updated in March 2022. Filling out the form is quick and easy with the fillable template and automatic form filler.

Where Can I Find a VA Form 10-0459?

The VA Form 10-0459 is an authorization to release information for credentialing purposes. The form was last updated in March 2022. It allows a healthcare professional to request a person’s medical treatment records. It is available in PDF and Microsoft Word formats. The form is simple to fill out and has an automatic form-filling feature. You can complete and e-sign the document online with the help of a fillable template.

VA Form 10-0459 Example

VA Form 10-0459

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