Forms – VA Foreign Medical Services Foundation

Forms

VA Form- 21-0845 THE AUTHORIZATION TO DISCLOSE PERSONAL INFORMATION TO A THIRD PARTY

FORM 10-7959F-1 Foreign Medical Program (FMP) Registration For

Form 10-7959F-2 Foreign Medical Program (FMP) Claim Cover Sheet

VA Form -21-526EZ NOTICE TO VETERAN/SERVICE MEMBER OF EVIDENCE NECESSARY TO SUBSTANTIATE A CLAIM FOR VETERANS DISABILITY COMPENSATION AND RELATED COMPENSATION BENEFITS

VAFMS VA FORM 4138 STATEMENT-IN-SUPPORT-OF-CLAIM

VBA-20-0995-DECISION REVIEW REQUEST

VA Form 10182 AUTHORIZATION TO DISCLOSE PERSONAL INFORMATION

VA Foreign Medical Services Transportation Fee

VBA-20-0996-HIGHER-LEVEL-REVIEW

NEW MEDICAL INTAKE FORM

TELEPSYCHIATRIC INTAKE FORM

standard-form-180-REQUEST-PERTAINING-TO-MILITARY-RECORDS

PATIENT SATISFACTION SURVEY FORM

VA Form 21-0781 SERVICE CONNECTION FOR POST-TRAUMATIC STRESS DISORDER (PTSD)

VA Form 21-4142 DECISION REVIEW REQUEST: BOARD APPEAL (NOTICE OF DISAGREEMENT)

VA Form -21-674-REQUEST-FOR-APPROVAL-OF-SCHOOL-ATTENDANCE

VA Form 21-674b SCHOOL ATTENDANCE REPORT

VA Form 21-686c-ADDITIONAL-BENEFITS-FOR-A-DEPENDENT-OR-TO-REMOVE

VA Form-21-509-areSTATEMENT OF DEPENDENCY OF PARENT(S)

VA Form 21-8940 VETERAN'S APPLICATION FOR INCREASED COMPENSATION BASED ON UNEMPLOYABILITY

Help us continue our mission

Our gift ensures that U.S. veterans living overseas receive the medical care, disability support, and dignity they’ve earned. Every dollar helps provide critical services when VA systems fall short — from urgent prescriptions to life-saving treatment. Stand with those who served. Help us reach them.

The VA Foreign Medical Services Foundation was established in March 2019 by its founder, Scott J. Martin

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Puerto Plata Calle El Morro,
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