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

Health Insurance Portability and Accountability Act (HIPAA) Release of Information

Under Federal regulation you must sign a Release of Information (ROI) consent form before we may release any information regarding your medical treatment.

How to Request Information

VA Medical Center
Release of Information
2360 East Pershing Blvd.
Cheyenne, WY 82001

The Release of Information office is open during normal business hours 8 a.m. – 4:30 p.m., located in the lower level of the hospital in Room C1-3.

A consent form may be mailed to you in the event you are here after normal working hours or you may pick up a consent form from the emergency room. Forms may also be downloaded from the choices at the right.

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

Requests for records will take approximately 10-14 days to process.

Fees

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.