According to the new HIPAA statute (Health Insurance Portability and Accountability Act), the VHA is providing you with the VA Notice of Privacy Practice. VA Caribbean Healthcare System has implemented appropriate administrative, technical, and physical safeguard measures to protect your individual information against any anticipated threats or hazards to their security or integrity. VHA employees can use the health information contained in your records, only while officially performing health care or administrative services. VA Caribbean Healthcare System may disclose information from your official VHA records only with your written authorization, or when a Federal law allows it.

The information the VA Caribbean Healthcare System may use and disclose about your health without your permission is for:

• Treatment
• Eligibility and enrollment for VA health care benefits
• Public health
• Research (with strict limitations)
• Abuse reporting
• Workers' compensation
• Payment
• Health care reimbursement
• Law enforcement
• Judicial or administrative proceedings
• Services
• Correctional facilities
• When required by law
• Family members or others involved with your care
• Health operations
• Coroner or funeral activities (with limitations) national security
• Health cares oversight
• Military activities
• Health or safety activities

The Release of Information Office is located in the main entrance, 1st floor, room 1E112 .

How to Request Information

To request a medical record, please use one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to the following address —

VA Caribbean Healthcare System 
Release of Information - Room 1E112
10 Casia Street
San Juan, P.R. 00921

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

Requests for records will take approximately 10-14 days to process.

Fees

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.