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.

VA Ann Arbor Healthcare System

 

Share My VA Health Records

 

"Connect Your Docs"

 

 

Connect by computer

Online:

If you are a Premium* eBenefits account holder, we invite you to Connect Your Docs through the VLER Health Information Exchange.

Here’s how to sign up today to begin sharing your health records:

  1. To get started, go to https://www.ebenefits.va.gov/ and log in.
  2. Select Manage Health.
  3. Scroll to the Health Records row and select VA Health Record Sharing.
  4. Select Manage My Authorizations and Preferences and then select Start Authorization.
  5. Accept the terms and conditions (you must click Yes to continue), then select Save and Continue.
  6. Mark the box and select Sign. You will then be prompted to re-enter your username and password.
  7. Finally, click Reauthenticate. (This next step may take a couple of minutes to process.)

If you have technical difficulties, please call 1-800-983-0937 for assistance.

To learn more about Premium eBenefits accounts, go to: https://ebenefits.custhelp.com/app/answers/detail/a_id/1669/~/what-are-the-requirements-for-getting-a-premium-ebenefits-account%3F.

Once you have completed these steps, VA will be able to share your health data with non-VA health care providers that are part of the VLER Health Program to better coordinate your care.

Mail:

  1. Download and print the VA authorization Form (VA Form 10-0485).
  2. 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

In Person:

  1. 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. 
  2. Ask for and complete the VA authorization Form (VA Form 10-0485).
  3. 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.

  1. Log into https://www.ebenefits.va.gov/
  2. Click Manage Health
  3. Scroll down the page and click VA Health Record Sharing
  4. Click Manage My Authorizations and Preferences
  5. Click Revoke Authorization

For more information about the VLER Health Program at the VA Ann Arbor Healthcare System, visit the Virtual Lifetime Electronic Record webpage or call the Health Benefits Office at (734) 845-5275.