VAFORMS.NET – VA Form 10-10163 – Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges – Are you wondering what VA Form 10-10163 is? What is it used for, and where can you find it? Read on to learn more about this vital document. This document requests permission to receive health care from the Veterans Administration. The application must be completed and submitted on the veteran’s anniversary date. It also updates the veteran’s financial information.
Download VA Form 10-10163 – Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges
| Form Number | VA Form 10-10163 |
| Form Title | Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges |
| Edition Date | October 2021 |
| File Size | 733 KB |
What is a VA Form 10-10163?
If you have served in the military or currently live in the United States, you may have been asked to fill out VA Form 10-10163. This form is used by the VA to authorize the sharing of health information with non-VA individuals or third-party organizations. It can be submitted to the VA office in person or by mail. You should know that you must submit this form by Monday, September 30.
If you do not want your health information to be shared, you can opt-out by filling out VA Form 10-10164 and submitting it to the Release of Information Office. Your health information will not be shared electronically until you send back this form. If you have already submitted VA Form 10-0484 before September 30, you do not need to fill out VA Form 10-10164.
Where Can I Find a VA Form 10-10163?
If you are a veteran, you may have already signed up to share your medical information with the VA. However, you have the option to opt-out. You can complete VA Form 10-10163 and return it to the VA by mail or in person. However, you must remember that this form is not an official document until October 2019.
The VA has created an online form that allows you to edit any information on it. You can also import the form from the cloud or via a link. Once you have the form, you can edit it by adding text or images, filling in areas, and checking boxes. You can also attach files and store them in an online folder.
If you cannot find the form you need online, you can visit the National Archives. They are responsible for reconstructing basic records for veterans. Whether you apply for disability compensation or for other VA benefits, be sure to include your military medical records and other documentation.
VA Form 10-10163 – Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges
VA Form 10-10163 – Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges use VA medical records is a request form that must be completed and signed by the Veteran. The form allows a VA health care provider to collect treatment records from Veterans in their care. It can be completed by doctors, other health care providers, or Veteran’s facilities. To request a copy of the form, download it here. It is important to read the Privacy Act and the paper-reduction section before filling out the form.
This form can be completed by hand or mailed to the VA office. Veterans can also opt out through the My HealtheVet portal. After opting out, Veterans can choose to opt back in through the portal. Once opted-in, the VA can only share certain health information with a qualified medical care provider if a person’s condition requires that information. However, if they want to opt-out, they must do so by September 30, 2019.
VA Form 10-10163 Example
