United States Department of Veterans Affairs
United States Department of Veterans Affairs

Black Hills Health Care System

Release of Information

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

The Release of Information Staff is expert in our patients' rights and their medical records.

The Release of Information Offices at VA Black Hills are located:

Hot Springs VA Medical Center:  Bldg. 12, Ground Floor, Room D002

Fort Meade VA Medical Center:  Bldg. 113, Room 173

How to Request Information

To request a medical record, please use one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to the medical center where you receive care: 

VA Black Hills Health Care System (BUS-32)
500 North 5th Street
Hot Springs, SD  57747

or

VA Black Hills Health Care System (BUS-32)
113 Camanche Road
Fort Meade, SD  57741

Because forms must contain an original signature, e-mailed forms cannot be accepted.  Forms may also be faxed to:

Hot Springs VA Medical Center  605-745-2851

Fort Meade VA Medical Center  605-720-7186

 

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.


Patient Information

Patient Information
Make, Change, or Cancel an Appointment
Release of Information

Release of Information Forms

pdf document Request for and Authorization to Release Medical Records or Health Information (VA 10-5345)
pdf document Individuals' Request for a Copy of Their Own Health Information (VA 10-5345a)

Related Links

Notice of Privacy Practices