Release of Information - Southeast Louisiana Veterans Health Care System
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Southeast Louisiana Veterans Health Care System


Release of Information

Our Release of Information staff will be happy to assist you with requests for your medical records. We also assist providers withcompleting forms for patients./images/medrec.jpg 

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 
How to Request Information

To request a medical records release, complete the "Request for and Authorization to Release Medical Records or Health Information" form.

To request copies of your medical records for yourself, complete "Individual's Request for a Copy of Their Own Health Information." Sign the form and fax it to 504-507-4137 or 504-507-4138, with a copy of driver’s license (must have original signature on form(s) to be faxed).

Forms may also be mailed to:

Release of Information Office
2400 Canal Street ATTN ROI
New Orleans, LA 70119

Because forms must contain an original signature, e-mailed forms cannot be accepted.

Requests for records will take approximately 10-14 days to process. Consent or authorization for release of information by a specific individual, physician or insurance company allows the hospital to send copies of information contained in a patient's medical record to another provider who may also be treating the patient, to other agencies/organizations for benefits consideration, or to the patient him/herself.


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. 

Contact Information

The Release of Information Department may contacted at (504) 507-4110.

Contact Info


  • Release of Information Office
    Room 1H127

Contact Number(s)

  • 800-935-8387 Ext. 74110

Hours of Operation

  • Mon-Fri 8 a.m. to 4:30 p.m.