Veterans receiving care at a U.S. Department Veterans Affairs facility do not need to provide a physician written certification, but must provide copies of the following two forms: VA Form 10-5345 and DD214

VA Form 10-5345

U.S Department of Veterans Affairs, Request for and Authorization to Release Medical Records or Health Information

If you have received care for your debilitating medical condition for more than five years at a VA facility, you will:

  1. Mark “OTHER” under “INFORMATION REQUESTED”.
  2. Specify that you are requesting information about the treatment of your debilitating medical condition for the most recent 12-month period.
  3. Write “PERSONAL MEDICAL PURPOSES” under “PURPOSE(S) OR NEED FOR WHICH THE INFORMATION IS TO BE USED BY INDIVIDUAL TO WHOM INFORMATION IS TO BE RELEASED”.
  4. Write your address under “NAME AND ADDRESS OF ORGANIZATION, INDIVIDUAL OR TITLE OF INDIVIDUAL TO WHOM INFORMATION IS TO BE RELEASED”. 

Once you receive your official medical records, you must submit the medical records with your application to the Illinois Department of Public Health to be a qualifying patient for medical cannabis.

Download VA Form 10-5345

Form DD214

The DD Form 214, Certificate of Release or Discharge from Active Duty, generally referred to as a "DD-214", is a document of the United States Department of Defense, issued upon a military service member's retirement, separation, or discharge from active-duty military.

Distribution

A DD Form 214/215 is prepared in eight copies and distributed as follows:

  • Copy 1 – Service Member
  • Copy 2 – Service Personnel File
  • Copy 3 – United States Department of Veterans Affairs
  • Copy 4 – Member (if initialed in Block 30)
  • Copy 5 – United States Department of Labor
  • Copy 6 – State Director of Veteran Affairs
  • Copy 7 & 8 – Distributed in accordance with Military Service Department directions (shredded and retain)

Electronic Cost-Free Copy of DD-214

eBenefits, a web portal managed jointly by the United States Department of Veterans Affairs (VA) and the United States Department of Defense (DoD) provides Service members with free electronic copies of their Official Military Personnel File, including their DD Form 214. Electronic copies will be provided within 48 hours from the time of request. In order for a Service member to request his/hers DD-214 in eBenefits, he/she must have an eBenefits Premium Account.

Paper Cost-Free Copy of DD-214

The National Personnel Records Center is the government agency tasked with replacing lost and destroyed DD Form 214s upon request from a veteran. Requested copies are mailed from the Military Personnel Records Center. Most veterans who separated from their service generally pre-1992 can obtain their DD-214 from the National Personnel Records Center, ("NPRC"). The NPRC has two distinct tracks available to obtain records for veterans. The first is for the veteran to submit a Department of Defense Standard Form 180 ("SF180") to the facility via mail or fax. The second is to appear in-person at the facility. The National Archives also maintains a list of independent researchers who will physically visit the St. Louis facility to request records in person.

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