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9 results in Healthcare
Application for Health Benefits
The primary application to enroll in VA healthcare. Covers eligibility determination, priority group assignment, and copay assessment.
Health Benefits Renewal/Update
Update your personal, insurance, or financial information for VA healthcare. Use this form annually or when your situation changes.
CHAMPVA Application
Apply for the Civilian Health and Medical Program of the VA (CHAMPVA). Available to spouses and children of veterans with permanent and total service-connected disabilities.
CHAMPVA Other Health Insurance Certification
Report other health insurance information if you are enrolled in CHAMPVA. Required to coordinate benefits with other coverage.
Request for and Authorization to Release Medical Records
Authorize the release of your VA medical records to yourself, another provider, or a third party. Also used to request copies of your VA health records.
Veteran/Beneficiary Claim for Reimbursement of Travel Expenses
Claim reimbursement for travel to and from VA medical appointments. Covers mileage, tolls, and parking for eligible veterans.
Foreign Medical Program (FMP) Claim
Submit claims for healthcare received outside the United States if you have a service-connected condition. Available to veterans living or traveling abroad who are enrolled in the Foreign Medical Program.
VA Blue Button Health Report
A downloadable report of your complete VA health records including medications, allergies, lab results, and clinical notes. Access through My HealtheVet or the VA Health and Benefits app.
VA Community Care Referral Authorization
Authorization document from the VA allowing you to receive care from a community (non-VA) provider. Issued when the VA cannot provide timely care or when you meet eligibility criteria under the MISSION Act.