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Get more information on the Veterans Benefits Banking Program
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Private Medical Evidence

The Department of Veterans Affairs encourages all Veterans to submit their private medical records for consideration during the processing of their benefits claim. VA values evidence from your private treatment providers because they are familiar with your medical history, often over a long period of time. VA appreciates the trusted and special relationship between private treatment providers and their Veteran/patients.

How To Submit Private Medical Evidence for Your VA Claim

Talk to your healthcare provider (family physician, urgent care visits, any Tricare-covered treatment after discharge) and explain that you are filing a claim for VA benefits; discuss the conditions for which you are filing a claim.

  • If required, complete your healthcare provider’s release of information form, obtain your records, and submit with your claim, OR
  • Complete VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) and VA For 21-4142a, General Release for Medical Provider Information to the Department of Veterans Affairs (VA); submit completed forms with your claim and VA will attempt to obtain your records through our Private Medical Records contract. VA Forms 21-4142 and 21-4142a are used in conjunction with each other and both forms must be completed in order to obtain treatment records.

    View/download VA Form 21-4142 and VA Form 21-4142a.

How To Incorporate Federal Records With Your VA Claim

Tell us about your Federal records (from any federal agency*) and we will gather these on your behalf. If you received treatment at a military hospital or clinic after your discharge, please include facility information and the date ranges of your medical treatment records for your claimed conditions when completing VA Forms 21-4142 and 21-4142a.

*It is not necessary for you to submit your Service Treatment Records (STRs) or treatment records from a VA medical facility as we have access to these records.

Public Disability Benefits Questionnaires (DBQs)

If you are interested in submitting a Disability Benefits Questionnaire (DBQ) in support of your claim, please visit our webpage which includes a list of DBQs available to the public.

Claims Assistance

We encourage all Veterans to work with an accredited organization for assistance in completing claims for VA benefits. A list of accredited organizations can be found on the Office of General Counsel site at this link: Search the VA Office of the General Counsel’s list.