Request Your Medical Records - James A. Haley Veterans’ Hospital - Tampa, Florida
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James A. Haley Veterans’ Hospital - Tampa, Florida


Request Your Medical Records

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
  • My HealtheVet In-Person Authentication

The Release of Information Staff is expert in our patients’ rights and their medical records. The Release of Information Office is on the ground floor, Rm. GA-027. They can be reached by calling (813) 972-2000, ext. 6157.

How to Request Information

To request a medical record, please print one of the forms listed in the column to the right, complete the requested information, sign the form and mail it to the following address -

James A. Haley Veterans’ Hospital
Release of Information Office (HIMS-16A)
13000 Bruce B. Downs Blvd.
Tampa, FL 33612

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

Requests for medical records for upcoming health care provider appointments should be requested at least thirty days in advance prior to scheduled appointment.


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.


Release of Information Office
Ground Floor, Room GA-027
813-972-2000 Ext. 6157