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REVOCATION OF MY VA HEALTHCARE PROXY\'S ELECTRONIC ACCESS TO MY PROTECTED HEALTH INFORMATION (PHI) IN THE Healthier PORTAL Privacy Act Information: The information requested on this form is solicited
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To fill out a revocation of your VA, follow these steps:
02
Download the revocation form from the appropriate website.
03
Read the instructions carefully to understand the requirements.
04
Fill in your personal information, such as your name, address, and contact details, as requested.
05
Provide information about the VA you wish to revoke, such as the name, number, and effective date.
06
Sign and date the revocation form.
07
Submit the completed form by mail or electronically, following the specified instructions.
08
Keep a copy of the revocation form for your records.
09
Follow up to ensure that your VA revocation has been processed.

Who needs revocation of my va?

01
Anyone who has previously granted a VA and wishes to revoke it needs a revocation of their VA. This may be necessary in cases where the individual no longer requires or desires the benefits or services provided by the VA. It is important to consult with the appropriate authorities or legal professionals to determine the specific requirements and implications of revoking a VA.
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