Updated Jan 25, 2024
In This Section |
This section contains the following topics:
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1. Procedures for Obtaining Clinical Records
Introduction |
This topic contains general information on clinical records including
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Change Date |
January 25, 2024
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III.ii.2.C.1.a. When Clinical Records Are Retired |
Based on the branch of service and type of treatment received, clinical records are retired to the National Personnel Records Center (NPRC).
Follow the instructions in the table below to determine when clinical records of treatment before 2003 are retired.
Notes:
References: For more information on
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III.ii.2.C.1.c. Locating Clinical Records |
Clinical records are rarely included in the service treatment records (STRs) because the treating facilities that create them retain the records for the time periods shown in the table below and then send them to NPRC.
Hospital summaries take the place of clinical records in STRs. Normally, these summaries are adequate for rating purposes. When review of the actual clinical records is necessary, request them from the treating facility or NPRC (whichever has custody).
Important: If a Veteran was treated in an MTF after 2003, Department of Veterans Affairs (VA) employees may access electronic copies of the clinical records in JLV, as indicated in M21-1, Part III, Subpart ii, 2.C.1.a.
References: For more information on
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III.ii.2.C.1.d. When to Request Clinical Records From NPRC |
Requests for clinical records must be made to NPRC when
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III.ii.2.C.1.e. How to Request Clinical Records from NPRC |
When requesting NPRC to search for clinical records, submit a request through PIES that includes
Note: If requesting mental health records, input mental health as the alleged disease or injury.
Use the information in the following table to determine which PIES request code to use when requesting the treatment records from NPRC.
Example: A Veteran who served 4 years in the Army submits a claim for service connection for a condition he was treated for as an inpatient 20 years ago at Madigan Army Medical Center. It is determined that clinical records are needed to adjudicate the claim.
Analysis: In this case, since it can be determined with a high degree of certainty that the required clinical records are retired, the development activity will not submit a request directly to the MTF. Instead, it will request records from NPRC by using PIES request code CO1-V.
Notes:
References: For more information on
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III.ii.2.C.1.f. How to Request Clinical Records from an MTF |
If the clinical records are maintained at an MTF and cannot be obtained using JLV, submit a request to the treating facility by using a VA Form 21-8359, Information Re Veteran in Uniformed Services Hospital (Request by Department of Veterans Affairs). The request to an MTF must include the
Important: Use a VA Form 21-8359 and VA Forms 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA), and 21-4142a, General Release for Medical Provider Information to the Department of Veterans Affairs (VA), when requesting health care records that pertain to the claimant’s sensitive diagnosis and treatment.
Note: If a custodian provides a negative response to a clinical records request, the claims processor must prepare a final notification letter in accordance with the procedures contained in M21-1, Part III, Subpart ii, 1.A.1.e.
References: For more information on
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III.ii.2.C.1.g. Clinical Records Destroyed in the Fire at NPRC |
Clinical records documenting inpatient care prior to 1960 for Army personnel, and prior to 1957 for Air Force personnel, were usually filed in the Veteran’s Official Military Personnel File (OMPF). Therefore, many of the clinical documents recording the care for Army and Air Force Veterans were destroyed in the OMPF during the 1973 fire at NPRC.
Exception: Clinical records dated prior to 1957 for Army hospitals, and prior to 1951 for Air Force hospitals, that were maintained at clinical records libraries were not destroyed in the 1973 fire. There are also small, scattered collections of records from years earlier than 1951 and some alternate sources of evidence and records for the fire-related period.
References: For more information on
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2. Locating and Obtaining Army OMPFs
Introduction |
This topic contains instructions for locating and obtaining Army OMPFs, including |
Change Date |
January 25, 2024
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III.ii.2.C.2.b. Location of OMPFs and the Means for Requesting Copies |
Use the information in the table below to determine
References: For more information on using
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3. Locating and Obtaining Navy Personnel Records
Introduction |
This topic contains information about locating and obtaining Navy personnel records, including the location of Navy |
Change Date |
June 24, 2022 |
III.ii.2.C.3.a. Location of Navy Personnel Records and the Means for Requesting Copies |
Use the information in the table below to determine
References: For more information on using
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4. Locating and Obtaining Air Force and Space Force Personnel Records
Introduction |
This topic contains information about locating and obtaining Air Force and Space Force personnel records, including
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Change Date |
January 25, 2024 |
III.ii.2.C.4.a. Location of Air Force Personnel Records and the Means for Requesting Copies |
Use the information in the table below to determine
References: For more information on using
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III.ii.2.C.4.b. Obtaining Space Force Personnel Records |
Space Force personnel records are obtained through DPRIS. Claims processors should select Air Force as the branch of service when submitting the request.
Reference: For more information on using DPRIS, see the DPRIS User Guide.
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5. Locating and Obtaining Marine Corps Personnel Records
Change Date |
January 25, 2024 |
III.ii.2.C.5.a. Location of Marine Corps Personnel Records and the Means for Requesting Copies |
Use the information in the table below to determine
References: For more information on using
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6. Locating and Obtaining Coast Guard Personnel Records
Introduction |
This topic contains information about locating and obtaining Coast Guard personnel records, including
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Change Date |
January 25, 2024 |
III.ii.2.C.6.a. Location of Coast Guard Personnel Records and the Means for Requesting Copies |
Use the information in the table below to determine the
Important: Do not submit a PIES request for personnel records if the Veteran was discharged on or after October 1, 2006, and a negative response/no record is received from DPRIS. Consider the DPRIS response final and proceed with final notification to the claimant, as discussed M21-1, Part III, Subpart ii, 1.A.1.e.
References: For more information on
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III.ii.2.C.6.b. Requesting Coast Guard Investigative Reports |
To obtain investigative reports from the Coast Guard Investigative Service, direct the request to
Langston Brooks
FOIA/Privacy Act Officer Case Management Specialist Coast Guard Investigative Services 2703 Martin Luther King Jr Ave SE
Washington, DC 20593
Phone: (202) 372-3039
Fax: (202) 372-8366 Important: The request must contain the
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