VAFORMS.NET – VA Form 10-10116 – Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research – As a veteran, it is important to understand your rights when it comes to the sharing of your health information. The VA Form 10-10116 – Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research is an important document for veterans and their families to be aware of. This form allows veterans to revoke their authorization for the use and release of their individually identifiable health information in connection with VHA research activities.
Download VA Form 10-10116 – Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research
| Form Number | VA Form 10-10116 |
| Form Title | Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research |
| Edition Date | April 2022 |
| File Size | 641 KB |
What is a VA Form 10-10116?
VA Form 10-10116 is a form used by the Veterans Health Administration (VHA) to revoke authorization for the use and release of individually identifiable health information. This form is important for veterans who have previously provided authorization to release their health records for research purposes, but now wish to withdraw that permission. VA Form 10-10116 helps ensure the privacy protection of veterans’ health information while also allowing them to participate in VHA research studies. By completing the form, veterans are able to opt out of future research activities associated with their protected health information. The revocation process allows veterans’ rights and interests regarding the confidentiality and privacy of personal medical records to remain secure from unauthorized use or disclosure. Completion of VA Form 10-10116 ensures that veterans have control over how their individualized data will be used or shared within a VHA research study or any subsequent analysis or publication based on it.
Where Can I Find a VA Form 10-10116?
VA Form 10-10116 is a form that must be completed for Veterans Health Administration (VHA) research in order to revoke authorization for the use and release of individually identifiable health information. Knowing where to find this form can be difficult, but with the right resources, completing the document shouldn’t take much time or effort.
The VA Form 10-10116 can be found on the official website of the Department of Veterans Affairs (VA). The form is located in the “Forms” section and should easily be accessible after searching for it. Alternatively, printable versions are also available from many online sources such as government websites and third-party providers. Additionally, you may contact your local VHA office to ask if they have copies available or if they can provide more information on how to complete it correctly.
VA Form 10-10116 – Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research
Veterans Health Administration (VHA) research is an important part of medical advancements that can help millions of veterans. However, the release and use of individually identifiable health information is not something to be taken lightly. That’s why the VA Form 10-10116 exists—to ensure that veterans are able to maintain control over their personal health information while still allowing VHA research to continue in a secure manner.
The VA Form 10-10116 allows veterans to revoke any existing authorizations they have given for the release and use of individually identifiable health information for VHA research purposes. This form also serves as a way for veterans to opt out if they do not wish their health information used in any future research projects by the Veterans Health Administration.
VA Form 10-10116 Example
