How to Correct VA Medical Records

June 17, 2024 – This article explains how to correct VA medical records.

Everyone makes mistakes—even doctors. That's why you should always review your medical records to make sure everything is accurate.

The Department of Veterans Affairs (VA) makes it easy to review your patient records with My HealtheVet, the VA's online records and communication platform.

On this page ...

• Key Points
• It's the Law
• 10 Steps to Correct Your VA Medical Records
• Sample Letter to Correct Your VA Medical Records
• CC BY 4.0? Creative Commons License?
• Letter Template Example
  
• Download Letter TEMPLATES
• CHECKLIST for Requesting a Correction
• 7 Reasons to Review Your VA Medical Records
• Helpful VA Articles About Blue Button
• My HealtheVet Help
• What if I Don't Have a Computer?
• Footnotes
  

Key Points

• Check your VA medical records after every visit using VA's MyHealtheVet Blue Button download. Doctors and other medical professionals make mistakes like all of us.
  
  
• But "what's written is what happened," so if you do not correct VA medical records what's written becomes the "evidence of record" when it comes to VA disability claims  and for future assessment and treatment determinations.
  
  
• The Veterans Health Administration (VHA) unfortunately requires veterans to complete a series of complicated procedural steps to correct your VA medical records. 
  
  
• Follow the 10 Steps below, using the letter templates I provide if you wish. 
  
  
• Use the Correct VA Medical Records Checklist to make sure you've completed each step correctly.
  
  
• Ask for help from a Veterans Service Officer or a VHA Patient Advocate if you have any questions. They might not know the answer right away, but they can hopefully ask others to find the answer for you.
  
  
• Also try the much-improved Ask VA service. (I have been impressed with how responsive and helpful they usually are.)
  
  

It's the Law

Federal law specifically guarantees veterans the right to request a correction to their Department of Veterans Affairs medical record.¹

Amendment of records, 38 C.F.R. § 1.579

► C.F.R. = Code of Federal Regulations

► 38 = Title 38: Pensions, Bonuses, and Veterans' Relief

► § = Section

The Veterans Health Administration (VHA) spells out specific procedures for veterans to request a correction, called an "amendment" by VHA. The procedures also assign responsibility for making corrections to specific VHA personnel.^2,3

10 Steps to Correct VA Medical Records

Step #1. According to VA, you should send a letter: "... stating explicitly what information is in contention and why, i.e., inaccurate or erroneous, irrelevant, untimely, or incomplete."⁴

→ In plain language, tell VA what they got wrong, and what the record should say.

Step #2. If possible, include with your letter a printed copy of the doctor's note (or whatever the record is), and circle or highlight the sentence, paragraph, or other aspect of the record that is not correct.

Step #3. Include in your letter:

• your full name, including your middle name;⁵
• your date of birth;
• your Social Security number; and the
• date you are writing the letter.

Step #4. If for some reason you cannot include a printed copy of the medical record, be as specific as possible describing the specific medical record with the mistake, such as the ...

• date of the medical record;
• time of day;
• name of the clinic or service;
• doctor or other clinician's full name;
• type of visit, e.g., "annual physical" or "psychotherapy group".

Step #5. Sign your letter in ink. (continued below ...)

The image immediately below is a SAMPLE envelope. It does not refer to an actual veteran—I invented the name and address.

SAMPLE envelope addressed to a VA HCS Privacy Officer. The name and address does *not* represent an actual person. The veteran's name and address is *fictitious*.

... 10 Steps to Correct VA Medical Records (continued)

Step #6. Make three copies of your letter, just in case you need them later.

Step #7. Address your letter to "ATTN: Privacy Officer", followed by the mailing address for your local VA Medical Center (VAMC) or VAHCS (VA Health Care System). 

Do you see your doctor at a CBOC?

Every CBOC is attached to a VAMC or VAHCS. You need to mail your letter to the VAMC or VAHCS affiliated with your CBOC.

If you do not know to which VAMC or VAHCS your CBOC is attached, search for the name of your CBOC and you should be able to figure it out. (Or call the CBOC to ask.)

Mail to "ATTN: Privacy Officer"

You can try to find the Privacy Officer's name and an exact mailing address for him or her, but that often turns out to be an exercise in futility.⁶ You do not have to know their name. Just mail to "ATTN: Privacy Officer".

Thus, address your letter to "ATTN: Privacy Officer" at your medical center's mailing address. (If you search Google for "VA medical center" you will usually find the mailing address. Add the name of the city if needed.)

Step #8. Send a copy of your signed letter to "Chief, Health Information Management Services" at the same address.

U.S. Postal Service - Return Receipt Green Postcard for Certified Mail

Step #9. If you can, use a PRINTER to print the address on an envelope, so that the address is clear and easy to read. 

But if it will take a long time to find a printer, just hand-address the envelope with neat handwriting. It will still get there.

Step #10. Go to your local U.S. Post Office and mail your letter via Certified Mail, Return Receipt Requested.

If you are not sure how to do that, go to the Post Office at a time when it is less busy and ask the clerk for help. You might tell the clerk you are a veteran as most folks like to help veterans, and many U.S. Postal Service employees are veterans too. 

Certified Mail with Return Receipt services cost more—an extra $6.40 (approximately)—but are well worth it because you will have proof that VA received your letter.

Another option is to mail your request via USPS Priority Mail or FedEx.

Note that FedEx 2nd Day or Economy costs the same as Priority Mail and is more reliable. 

Quick Summary: How to Correct VA Medical Records

» Type or neatly write a letter explaining VA's specific error(s) and how how their error should be corrected.

» Address your letter to "ATTN: Privacy Officer" at your VAMC or VAHCS, and send a copy of the letter to "Chief, Health Information Management Services".

» Send your letter Certified (USPS) or via FedEx.

This work is licensed under a Creative Commons Attribution 4.0 International License.
[What does this mean?]

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Sample Letter to Correct VA Medical Records

The image immediately below is a SAMPLE letter. It is not a genuine letter—I made up the name and the doctor's note. To emphasize: the letter below is entirely concocted; I invented the name and address of the fictitious veteran.

Sample (fictitious) letter to correct VA Medical Records (*not* a real veteran's name or address).

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CC BY 4.0? Creative Commons License?

CC BY 4.0 is an abbreviation for "Creative Commons Attribution 4.0 International License".

What does it mean? The Creative Commons Attribution 4.0 International License means that you are free to:

Share — copy and redistribute the material in any medium or format.

Adapt — remix, transform, and build upon the material for any purpose, even commercially. 

Under the following terms:

Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. Here is an example of proper attribution:

• These "Letter Templates to Correct VA Medical Records" were created by Mark D Worthen PsyD; published on PTSDexams.net; and are licensed under a Creative Commons Attribution 4.0 International License.

If you post one or more of these Letter Templates on a website or blog—which I encourage you to do—here is HTML markup (code) you can copy-and-paste into your web page for the attribution:

• <p style="font-size: 15px; font-family: 'Times New Roman', Times, serif; font-weight: normal;">These "Letter Templates to Correct VA Medical Records" were created by <a href="https://www.drworthen.net/" rel="cc:attributionURL">Mark D Worthen PsyD</a>; published on <a title="PTSDexams.net" href="https://www.ptsdexams.net/correct-va-medical-records.html" target="_blank" rel="noopener">PTSDexams.net</a>; and are licensed under a <a title="Creative Commons Attribution 4.0 International License" href="http://creativecommons.org/licenses/by/4.0/" target="_blank" rel="license noopener">Creative Commons Attribution 4.0 International License</a>.</p>

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Letter TEMPLATE

Download Letter Templates

The templates listed below look like the one above, and are designed to help you write a letter to correct VA medical records:

Letter Template (.txt)

Letter Template (.pdf)

→ Note: Feel free to share these letter templates with other veterans. If you post these templates, please link back to this web page or otherwise acknowledge the source for the template(s). CC BY 4.0

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Checklist

→ Download the Correct VA Medical Records CHECKLIST (PDF).

Correct an Error in VA Medical Records

Ο I printed three copies of the doctor's note (or whatever the record is), and I circled or highlighted the sentence, paragraph, or other aspect of the record that is not correct.

My letter contains my:
Ο Full Name
Ο Date of Birth
Ο Social Security Number

I describe the specific medical record containing the mistake, including:
Ο date of the medical record
Ο time of day (if available)
Ο name of the clinic or service (if known)
Ο doctor or other clinician's full name
Ο type of visit, for example, "annual physical" or "group therapy"

Ο I know the mailing address for my local VA Medical Center (VAMC), sometimes called a "VA Health Care System" (VAHCS). (If I go to a Community-Based Outpatient Clinic (CBOC), I have the mailing address for the VAMC or VAHCS to which the CBOC is attached.)

Ο I signed my letter in ink.

Ο I made three copies of the signed letter.

Ο I have addressed two envelopes, both to be mailed to my local VAMC or VAHCS, the original signed letter to be mailed to "ATTN: Privacy Officer" and a copy of the signed letter to "Chief, Health Information Management Services".

Ο I plan to mail both letters at a U.S. Post Office where I send them First Class, Certified Mail, Return Receipt. I understand this will cost about $6.40 for each letter.

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These "Letter Templates" are licensed under a Creative Commons Attribution 4.0 International License.

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7 Reasons to Review Your VA Medical Records

You should regularly review your Department of Veterans Affairs medical record for at least these seven reasons. Remember that the VA makes it easy to review your patient records with My HealtheVet.

1. Make sure you remember your doctor's recommendations, including anything you were supposed to do.

Example: "Am I supposed to fast for 12 hours before my lab test tomorrow?"

2. Double check the "dosing schedule" for your medications.

Example: "Did the pharmacy type this correctly on the label: 'Take two tablets twice a day, and then three tablets once a day'?"

3. Look up the name and dosage of a new medicine you're taking.

Example: "My private psychologist asked me the name of the new antidepressant I'm taking. I don't have my prescription bottle with me, but I can look it up on MyHealtheVet!"

4. Check lab test results.

Example: "I wonder if my cholesterol has gone down since I started this Paleo diet?"

5. Print out your medical records for a private doctor you will be seeing. (Or give your private doctor electronic access via Blue Button.)

6. Review your VA medical records before filing a VA disability benefits claim.

Example: "I started getting depressed after I was diagnosed with cancer - even before I started radiation treatments and chemotherapy. When did the my doctor get the results of that biopsy back? Was last November or even earlier?"

7. To double check notes entered into your medical records by VA nurses, psychologists, physicians, and other clinicians to make sure everything is accurate. The sooner you catch an error, the easier it is to correct VA medical records.

Example: "I had an intake interview with a VA psychologist. He wrote down that I had been clean and sober for six weeks, but it's actually been six months. He did not write down that I attend AA and NA meetings 5 days a week; talk with my sponsor at least twice a week; and that I finished my 5th Step two weeks ago. I think that information is important!"

VA Blue Button

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Helpful VA Articles About Blue Button

Getting Started with Blue Button - Getting started guide.

Manage Your Health Records with My HealtheVet and Blue Button - Helps you understand the different types of reports you can download with Blue Button.

Three Ways to Check Your VA Lab Tests - Very helpful!

Blue Button FAQ - VA answers several frequently asked questions (FAQ) about Blue Button.

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My HealtheVet Help

My HealtheVet Help

The Veterans Health Administration (VHA) offers a "Help Desk" (toll-free phone number) if you have questions about My HealtheVet; a My HealtheVet Help page with links to articles; and a comprehensive FAQ page.

My HealtheVet Help Desk

1-877-327-0022 | 1-800-877-8339 (TTY)

Available weekdays from 0700 to 1900 Central Time, which is:

• 0600 to 1800 Eastern Time
• 0800 to 2000 Mountain Time
• 0900 to 2100 Pacific Time
• 1000 to 2200 Alaska Time
• 1100 to 2300 Hawaii Time

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What if I Don't Have a Computer?

If you don't have a computer or don't like to use them... Go to your local library's Reference Desk, and ask for help from a reference librarian!

Most libraries have computers you can use and the librarian can help you if you have any trouble using the computer or finding what you need.

Click here to open a Google Maps search for find local libraries. It works amazingly well, although you might need to expand or contract the map depending on your locale.

Or, if you're going to be going to your VA medical center anyway, stop by the My HealtheVet office where they usually have computers you can use, and they'll teach you what you need to know.

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Footnotes

1. Amendment of records, 38 C.F.R. § 1.579 (2019).

2. Veterans Health Admin., Dep't Veterans Aff., VHA Directive 1605.01, § 8. Right to Request Amendment of Records, p. 26 (2016).

3. Veterans Health Admin., Dep't Veterans Aff., VHA Handbook 1907.01 § 26 Health Record Alterations and Modification, pt. b, no. 4 Amendment, p. 32 (2015).

4. VHA Handbook 1907.01 § 26, pt. b, no. 4, subpt. a ("Amendment is the alteration of health information by modification, correction, addition or deletion at the request of the patient or Veteran. A request to amend any data contained in VA health records must be submitted in writing to the facility Privacy Officer, or designee, by the patient or Veteran stating explicitly what information is in contention and why, i.e., inaccurate or erroneous, irrelevant, untimely, or incomplete.")

5. If you do not have a middle name, use "NMN" for "No Middle Name", e.g., John NMN Smith.

6. In my experience, VA medical center websites do not provide much information, and the search engine on all va.gov sites is abysmal. Another option is to try calling the VA medical center main phone number to see if the operator can find the Privacy Officer's name and exact mailing address. (I realize that it's hard to get through on the phone at some VAMCs.)

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  Resources for Veterans

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  How to Obtain Veterans Records

  How to obtain veterans records for a VA disability claim.

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