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Captain James A. Lovell Federal Health Care Center

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Request Your Medical Records

To request a medical record or information, please fill out a VA Form 10-5345 (Request for an Authorization to Release Medical Records), sign the form and mail it to the following address:

       Captain James A. Lovell Federal Health Care Center
       Release of Information (136D)
       3001 Green Bay Road
       North Chicago, Illinois 60064

*The form must contain an original signature, so e-mailed or faxed forms cannot be legally accepted.