United States Department of Veterans Affairs
United States Department of Veterans Affairs

Hudson Valley Healthcare System

RELEASE OF INFORMATION (ROI)

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:
  • access to your medical records
  • obtaining copies of your medical records
  • requests to amend your medical records
  • completion of forms for benefits, insurance, and other reasons The Release of Information Staff is expert in our patients' rights and their medical records.
How to Request Information
To request a medical record, please use one of the forms listed below, complete the requested information, sign the form, and mail it to the following address:

Hudson Valley Healthcare System
Castle Point Campus
Release of Information (Room F-001)
Route 9D
Castle Point, NY 12511

or

Hudson Valley Healthcare System
Montrose Campus
Release of Information (Room 107-G)
2094 Albany Post Road
Montrose, NY 12508


Because forms must contain an original signature, emailed forms cannot be accepted. Requests for records will take approximately 10-14 days to process.

Fees
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.

Release of Information Forms
PDF document Request for and Authorization to Release Medical Records or Health Information (VA Form 10-5345)
PDF document Individuals' Request for a Copy of their Own Health Information (VA Form 10-5345a)

QUESTIONS?
To speak to someone regarding release of information, please call us at:

Castle Point Campus: (845) 831-2000 ext. 5125 or 5622
Montrose Campus: (914) 737-4400 ext. 2532 or 2535

Related Links
• Notice of Privacy Practices

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