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 —
The Release of Information Staff is expert in our patients' rights and their medical records.
Please call 312-569-8964 to speak to someone in the Release of Information Office.
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 following address —
Jesse Brown VA Medical Center
ATTN: Release of Information (PAS)
820 South Damen
Chicago, IL 60612
Because forms must contain an original signature, e-mailed forms cannot be accepted.
Requests for records will take approximately 10-14 days to process.