US Gov Navigator

Veterans Affairs

VA Form 10-399 — ATTESTATION REGARDING A REQUESTED USE OR DISCLOSURE OF PROTECTED HEALTH INFORMATION POTENTIALLY RELATED TO REPRODUCTIVE HEALTH CARE

Form 10-399

ATTESTATION REGARDING A REQUESTED USE OR DISCLOSURE OF PROTECTED HEALTH INFORMATION POTENTIALLY RELATED TO REPRODUCTIVE HEALTH CARE

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.