Download fillable va form 21-4142 | consent to release, Va form 21-4142 is a medical release form that must be on file with veteran’s affairs prior to any review of any disability or medical claims.
Authorization and consent to release information to the, 7c. condition(s) (illness,injury,etc.) section i - veteran/claimant identification if you have any questions about this form, call va toll-free at 1-800-827-1000
Fillable va form 21 4142, Create va form 21 4142. our top-rated tool is like working with a professional every step of the way. create va form 21 4142 in less than 5 minutes.
Authorization and consent to release information to the, Title: 21-4142 author: nancy kessinger subject: authorization and consent to release information to the department of veterans affairs \(va\) created date
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