About VA Form 10-5345a 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information. Fill in your last name, first name, and middle name, along with your date of birth in the specified format (mm/dd/yyyy).
3. Provide your mailing address, ensuring to include the city, state, and zip code for accurate delivery.
4. In the 'Description of Information Requested' section, check the applicable boxes for the types of health information you wish to receive. Be specific about dates and details where required.
5. Indicate how you would like to receive your health information by selecting either paper, CD-ROM, or other options provided.
6. If you choose in-person pick-up, make sure to provide a contact phone number. If you want it mailed, confirm that it is sent to the same address as above or provide a new address.
7. Finally, sign the form in ink and date it appropriately. If someone else is signing on your behalf, indicate their authority clearly.

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