US Gov Navigator

Veterans Affairs

VA Form 10-10116 — Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research

Form 10-10116

Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research

Download official PDFOfficial source

Last checked Aug 18, 2026

Official sources:

Related

US Gov Navigator does not host government forms. Always download or file on the linked .gov page.