Attention A T users. To access the menus on this page please perform the following steps.
1. Please switch auto forms mode to off.
2. Hit enter to expand a main menu option (Health, Benefits, etc).
3. To enter and activate the submenu links, hit the down arrow.
You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.
Mail or fax completed form to: VA Ann Arbor Healthcare System Attn: ROI-VLER (136H) 2215 Fuller Road Ann Arbor, MI 48105 Fax: (734) 845-3696
Visit the Release of Information (ROI) Office at the VA Ann Arbor Healthcare System Medical Center, located on the first level of the main hospital building within the Eligibility Department in room C111-1E.
Give the form to a member of the ROI office staff.
If at any time you wish to stop sharing your records, visit the VA Ann Arbor Healthcare System Release of Information Office and ask for a “stop sharing” form (VA Form 10-0485)or call the toll-free VLER Health Information line at 1-877-771-VLER (8537) to request a “stop sharing” form.
You can also go online to opt out by following the steps below.