About va form 21-4142 | veterans affairs
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* Form name: Authorization to Disclose Information to the Department of Veterans Affairs (VA) Form revision date: August 2024 Related to: Disability, Health care WHEN TO USE THIS FORM 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. DOWNLOADABLE PDF Download VA Form 21-4142 (PDF) ONLINE TOOL You can submit your authorization online instead of sending us the
paper form. VA FORM 21-4142A Form name: General Release for Medical Provider Information to the Department of Veterans Affairs Use VA Form 21-4142a to give us permission to get medical
provider information from a non-VA source like a private doctor or hospital. This will allow us to gather information like the name and address of a facility and your medical treatment
dates. Download VA Form 21-4142a (PDF) * Securely view, download, and share your medical records. * Learn about the steps for filing a claim for disability compensation or increased
disability compensation. * Learn about filing a Supplemental Claim and adding new evidence to support your case.