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How to use or fill out VA Form 10-0485 with our platform
- Click ‘Get Form’ to open VA Form 10-0485 in the editor.
- Begin by entering the Patient Full Name. Fill in the Last, First, and Middle name fields accurately.
- Provide the last four digits of your Social Security Number (SSN) in the designated field to ensure proper record identification.
- Next, enter the Requestor Name. This should be the individual requesting the release of information.
- In the 'Information Requested' section, specify the pertinent health information you wish to be released from your electronic health record.
- Review and confirm that all information is accurate before signing. Your signature certifies that this request is made voluntarily and without coercion.
- Finally, date your form to complete it. Ensure all sections are filled out correctly before submitting.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2025 | 4.2 Satisfied (59 Votes) | |
| 2024 | 4.7 Satisfied (48 Votes) | |
| 2023 | 4.6 Satisfied (53 Votes) | |
| 2022 | 4.4 Satisfied (58 Votes) | |
| 2022 | 4.4 Satisfied (55 Votes) | |
| 2022 | 4.8 Satisfied (24 Votes) | |
| 2020 | 4.4 Satisfied (26 Votes) | |
| 2020 | 4.8 Satisfied (129 Votes) | |
| 2019 | 4.8 Satisfied (67 Votes) | |
| 2019 | 4.8 Satisfied (91 Votes) | |
| 2019 | 4.1 Satisfied (53 Votes) | |
| 2018 | 4.8 Satisfied (55 Votes) | |
| 2016 | 4 Satisfied (23 Votes) | |
| 2015 | 4.3 Satisfied (104 Votes) | |
| 2014 | 4.8 Satisfied (63 Votes) |
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