Request Your Medical Records - VAMC Manchester, New Hampshire
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VAMC Manchester, New Hampshire


Request Your Medical Records

National Archive Records Requests:

Please click to request a copy of your DD214/Separation Document, Personnel Records, Replacement Medals, and or prior Active Duty Medical Records.

Request Your Medical Records:

Our Release of Information (ROI) staff is happy to assist you with requests for your medical records. We do our best to fulfill requests as quickly as possible, but it may take up to twenty (20) business days to complete. Please be patient. If you need a form to be completed by your provider, you will need to make an appointment with your provider or drop it off to your provider for completion.  

How to request your medical records:

  • If you are requesting records for yourself, you will need to complete VA Form 10-5345a.
  • If you are requesting records for a provider in the community, please have your provider fax a request on their letterhead to 603-629-3282. (Requests for records for continuity of care does not require a signed release of information request by the Veteran.)
  • If you are requesting that records be sent to any other 3rd party, please complete VA Form 10-5345.
  • The Manchester VAMC does not charge for records requested by the Veteran or for continuity of care.

If you are requesting an amendment to your medical record:

Release of Information will be happy to forward your written amendment request to our Privacy Officer for processing.

Please use this address for mailing in a completed VA 10-4345a:

Manchester VAMC

Release of Information/ Mail Code 136

718 Smyth Road

Manchester, NH  03104

Fax Requests to:


If you should have any questions, please call 603-624-4366 ext. 6183



Release of Information/Mail Stop 136
603-624-4366 Ext. 6183

Release of Information Fax Number