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VA Form 21-4142 ยท RT-2026-0620

Records release - provider portion

Sent to Records Office, Piedmont Regional Hospital, on April 2, 2026.

Expired
info

What happens next

The link expired before it was used. You can send a new link to the same recipient, or choose a different one.

Where it is right now

  1. check

    You completed your section

    Sent with your authorization details.

    April 2, 2026

  2. check

    Link sent to Piedmont Regional Hospital

    Single-use link, 30-day expiry.

    April 2, 2026

  3. 3

    Link expired unused

    The link was never opened. Expired links can't be reopened - send a new one.

    May 2, 2026

  4. 4

    Returned to your application

    Nothing has been returned for this request.

Every access to this link

Who opened the link, when, and what they did. Automated steps are labeled so you can tell them apart from a person's action.

  1. Sent a records request to Piedmont Regional Hospital

    Veteran - Marcus Whitfield - Apr 2, 2026, 1:15 p.m. ET

  2. Sent an automatic reminder to the recipient

    System - VA Lifestage - Apr 17, 2026, 6:00 a.m. ET

  3. Expired the link after 30 days with no response

    System - VA Lifestage - May 2, 2026, 12:00 a.m. ET

Link details

Sent to
Records Office, Medical records custodian
Practice
Piedmont Regional Hospital
Email
records@piedmontregional.example
Sent
April 2, 2026
Expires
May 2, 2026
Time remaining
Expired May 2
Access
Single use, this recipient only

Actions

This request is closed, so there's nothing to remind or revoke. If you still need the section completed, send a new link.

See the provider's view

This is what Records Office sees when they open the link. No VA account, no sign-in.

Open the provider view

Send a reminder?

We'll email records@piedmontregional.example again with the same link. The expiry date stays May 2, 2026 - a reminder doesn't extend it.

Revoke access to this link?

Records Office will no longer be able to open the form, and anything they've saved so far will be discarded. This can't be undone, but you can send a new link afterward.