Keyword Analysis & Research: 4142


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  • About VA Form 21-4142 | Veterans Affairs

    va.gov

    https://www.va.gov/find-forms/about-form-21-4142/

    WebLast updated: August 3, 2023. Feedback. Get VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA). Use this form to give VA permission to obtain your personal information such as your medical treatment, hospitalizations, psychotherapy, or outpatient care.

    DA: 98 PA: 66 MOZ Rank: 34

  • VA Form 21-4142 - Veterans Benefits Administration Home

    va.gov

    https://www.vba.va.gov/pubs/forms/VBA-21-4142-ARE.pdf

    WebTitle 38, United States Code, allows us to ask for this information. You can provide this authorization by signing VA Form 21-4142. Federal law permits sources with information about you to release that information if you sign a single authorization to release all your information from all possible sources.

    DA: 94 PA: 40 MOZ Rank: 42

  • About VA Form 21-4142a | Veterans Affairs

    va.gov

    https://www.va.gov/find-forms/about-form-21-4142a/

    WebAug 3, 2023 · Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal information may include your medical treatment, hospitalizations, psychotherapy, or outpatient care. Download VA Form 21-4142 (PDF)

    DA: 10 PA: 92 MOZ Rank: 75

  • VA Form 21-4142: A 4-Step Quick Guide for Veterans - VA …

    vaclaimsinsider.com

    https://vaclaimsinsider.com/va-form-21-4142/

    WebApr 4, 2023 · VA Form 21-4142, also known as the Authorization to Disclose Information to the VA, is a form that permits the release of a veteran’s records to the VA from non-VA sources, including hospitals or private doctor’s offices. For example, veterans may wish to release personal information from outpatient care, medical treatment, psychotherapy ...

    DA: 95 PA: 25 MOZ Rank: 86

  • VA Form 21-4142: Authorization to Disclose Information - CCK Law

    cck-law.com

    https://cck-law.com/blog/va-form-21-4142-authorization-to-disclose-information/

    WebMarch 15, 2023. Updated: November 20, 2023. What Is VA Form 21-4142 Used For? The Department of Veterans Affairs (VA) Form 21-4142, Authorization to Disclose Information to VA , gives VA permission to obtain a veteran’s medical treatment records from non-VA sources, such as from a private doctor or hospital.

    DA: 78 PA: 54 MOZ Rank: 95

  • VA Form 21-4142a - Veterans Affairs

    va.gov

    https://www.vba.va.gov/pubs/forms/VBA-21-4142a-ARE.pdf

    WebVA Form 21-4142a. OMB Control No. 2900-0858 Respondent Burden: 5 minutes Expiration Date: 07/31/2024. VA DATE STAMP. (DO NOT WRITE IN THIS SPACE) VA DATE STAMP. (DO NOT WRITE IN THIS SPACE) GENERAL RELEASE FOR MEDICAL PROVIDER INFORMATION TO THE DEPARTMENT OF VETERANS AFFAIRS (VA) VA DATE …

    DA: 96 PA: 34 MOZ Rank: 2

  • 21-4142 - Veterans Disability Info | VA Disability Lawyer

    veteransdisabilityinfo.com

    https://www.veteransdisabilityinfo.com/files/va-form-21-4142.pdf

    Web21-4142. OMB Control No. 2900-0001 Respondent Burden: 5 minutes. AUTHORIZATION AND CONSENT TO RELEASE INFORMATION TO THE DEPARTMENT OF VETERANS AFFAIRS (VA) RESPONDENT BURDEN: We need this information to obtain your treatment records. Title 38, United States Code, allows us to ask for this information.

    DA: 8 PA: 24 MOZ Rank: 27

  • VA Form 21-4142 - Authorization for Release of Information

    vetsfirst.org

    https://helpdesk.vetsfirst.org/index.php?pg=kb.page&id=2152

    WebEffective date: July 2021. Downloads. pdf. VA Form 21-4142 Release of Information.pdf. This page was: Helpful | Not Helpful. ← VA Form 21-4138 - Statement in Support of Claim VA Form 21-8940 -Application for Increased Compensation due Unemployability →. Vetsfirst - help desk and customer service portal.

    DA: 1 PA: 86 MOZ Rank: 5

  • Fact Sheet for Mental Health Care Professionals - Private …

    va.gov

    https://www.benefits.va.gov/privateproviders/factsheet.asp

    WebVA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA), (PDF) legally permits you to make the necessary disclosures of information consistent with applicable laws, including the Health Insurance Portability and Accountability Act (HIPAA), and the Substance Abuse Act. 1.

    DA: 28 PA: 72 MOZ Rank: 32

  • Private Provider Information Home - Veterans Affairs

    va.gov

    https://www.benefits.va.gov/privateproviders/index.asp

    WebThe Veterans Benefits Administration (VBA) uses VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA), to request private medical records and information regarding the source of records in support of claims for compensation and/or pension benefits.

    DA: 49 PA: 76 MOZ Rank: 53