Forms & templates
Health & care
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5,477forms in the libraryCollection date: 2026-10-06
146 forms
Academic Verification—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Pages: 7Not specifiedInteractive fieldsAcknowledgement of Application for Outpatient Dental Care
Pages: 1Not specifiedAdditional Information for Veterans with Service-Connected Permanent and Total Disability
Pages: 2Not specifiedAgreement to Provide Home Care for Patient
Pages: 1Not specifiedInteractive fieldsAnnual VA Employment or Deferment Verification—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Pages: 1Not specifiedInteractive fieldsApplication for Change of Permanent Plan (Medical)
Pages: 2Not specifiedInteractive fieldsApplication for Disability Compensation and Related Compensation Benefits
Pages: 15Not specifiedInteractive fieldsApplication for Extended Care Services
Pages: 4Not specifiedInteractive fieldsApplication for Furnishing Long-Term Care to Beneficiaries of Veteran Affairs
Pages: 2Not specifiedXFA · reader support requiredApplication For Health Benefits- Spanish
Pages: 6Not specifiedInteractive fieldsApplication for Health Professions Trainees
Pages: 4Not specifiedInteractive fieldsAuthorization and Invoice for Medical and Hospital Services
Pages: 2Not specifiedInteractive fieldsAuthorization for Release of Patient Funds
Pages: 1Not specifiedXFA · reader support requiredAuthorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research
Pages: 7Not specifiedInteractive fieldsAuthorization to Release Protected Health Information to State/Local Public Health Authorities
Pages: 1Not specifiedInteractive fieldsCertificate of Medical Feasibility
Pages: 2Not specifiedCHAMPVA—Other Health Insurance (OHI) Certification
Pages: 2Not specifiedInteractive fieldsChange in Child Care Provider
Pages: 1Not specifiedInteractive fieldsChild Care Provider Information (For the Child Care Subsidy Program)
Pages: 1Not specifiedInteractive fieldsChild Care Subsidy Application Form
Pages: 2Not specifiedInteractive fieldsClaim for Disability Insurance—Government Life Insurance
Pages: 3Not specifiedInteractive fieldsClaim for Payment for Nursing Home Care Provided to Veterans Awarded Retroactive Service Connection
Pages: 2Not specifiedInteractive fieldsCommunity Care Provider—Request for Service
Pages: 2Not specifiedInteractive fieldsComputer Patient Record System (CPRS) Read Only Rules of Behavior for Veterans Service Organization (VSO)
Pages: 2Not specified
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