G.V. (Sonny) Montgomery VA Medical Center
Request Your Medical Records
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. The Release of Information department complies with applicable laws related to privacy practices and procedures when using or disclosing information. Our team is prepared to assist you with:
- Accessing your medical records
- Obtaining copies of your medical records
- Requests to amend your medical records
- Requests for name changes
- 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 Office is located in the Patient Care Center/Module A on the 1st floor of the VAMC. The telephone number is (601) 364-1566 or 1-800-949-1009 ext. 1566.
How to Request Information
To request your medical records, please complete and sign the requested information for the appropriate form listed in the column to the right. Mail it to:
G.V. (Sonny) Montgomery VAMC
Release of Information/Medical Records (136C)
1500 woodrow Wilson Ave.
Jackson, MS 39216
Because forms must contain an original signature, e-mailed forms cannot be accepted.
Requests for records will take approximately 20 days to process.
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.