VA Form FL-10-212LP: Large Print Medical Records Request – Veterans seeking seamless access to their health information often need to request records from non-VA providers. The VA Form FL-10-212LP serves this purpose as a large-print, accessible version designed for easier reading and completion, particularly beneficial for veterans with vision impairments.
What Is VA Form FL-10-212LP?
VA Form FL-10-212LP is the large print edition of the VA Request for Medical Records and/or Information form (based on FL-10-212). It authorizes a non-VA health care provider to release your protected health information (PHI) directly to the Department of Veterans Affairs (VA).
Primary purposes include:
- Supporting continuity of treatment by VHA clinical staff.
- Assisting VA investigators in approved research protocols.
The form ensures radiology films or laboratory slides are returned after review. It is a HIPAA-compliant authorization that protects patient rights while facilitating care coordination.
This large-print format makes it more user-friendly for older veterans or those with visual challenges while containing the same content as the standard version.
When Should You Use VA Form FL-10-212LP?
Use this form when you need to transfer medical records from a private doctor, hospital, clinic, or other non-VA health care entity to the VA. Common scenarios include:
- Starting or continuing care at a VA facility.
- Updating your VA medical history for treatment.
- Supporting a VA research study in which you participate.
- Ensuring VA providers have complete information from recent non-VA treatments (e.g., surgeries, specialist visits, or diagnostic tests).
Note: This form is not for requesting copies of your own VA medical records. For VA records, use VA Form 10-5345a (Individuals’ Request for a Copy of Their Own Health Information) or access them online via My HealtheVet / VA Blue Button.
Key Features of the Large Print Version
- Enhanced Readability: Larger text size for better accessibility.
- Clear Authorization Language: Specifies the types of records (discharge summaries, history and physical exams, laboratory information, radiology reports, and others).
- Sensitive Information Protections: Separate checkboxes/initials for substance abuse, mental health, psychotherapy notes, and HIV-related information.
- Patient Rights: Includes statements about voluntary consent, revocation rights, and redisclosure protections.
How to Fill Out and Submit VA Form FL-10-212LP?
- Download the Form: Get the official large-print PDF here: Download VA Form FL-10-212LP.
- Complete the Form:
- Provide your personal information and the non-VA health care entity’s details.
- Specify the date range and types of information to release.
- Initial for any sensitive categories (mental health, substance abuse, etc.).
- Sign and date the form (or have an authorized representative do so).
- Submit It:
- Give the completed form to your non-VA health care provider.
- They should send the records along with a copy of the form to the specified VA address.
Processing times vary by provider, but the form helps ensure compliance with privacy laws.
Alternatives for Accessing VA Medical Records
If you need your VA-generated records instead:
- Log into My HealtheVet or the VA.gov health portal for Blue Button access (view, print, or download summaries, labs, notes, and images).
- Submit VA Form 10-5345a by mail, fax, or in person to your VA facility’s Release of Information office.
For third-party releases from VA to others, use VA Form 10-5345.
Tips for Veterans Requesting Medical Records
- Always use the most current form version from VA.gov to avoid delays.
- Keep a copy of the signed authorization for your records.
- Follow up with both the non-VA provider and VA if records do not arrive promptly.
- For vision accessibility, the LP (Large Print) version is ideal; screen readers or VA assistance are also available.
- Contact your local VA facility or call 1-800-827-1000 for help.
Download VA Form FL-10-212LP
Download VA Form FL-10-212LP (Large Print PDF
For the full library of VA forms, visit the official VA Forms page.
This article provides general guidance based on official VA resources. For personalized assistance with your VA benefits or records, contact the VA directly or a Veterans Service Officer. Information is current as of 2026.