Healthcare Forms
Browse official and fillable healthcare PDFs. Open a form to fill it online, download a blank copy, or print it for filing.
Find the right healthcare form
Healthcare forms are commonly used by patients, clinics, benefits teams, caregivers, and medical administrators. This hub organizes 343 fillable PDFs so you can find the right document, fill it online, download a blank copy, and keep a record for filing.
Filing checklist
- Open the form detail page and verify the agency, year, revision date, and source link.
- Read the official instructions before submitting the completed form.
- Confirm the current form and submission method with the provider, insurer, or benefits office.
- Review privacy requirements before sharing completed medical or insurance paperwork.
343 Healthcare Forms
Page 10 of 15
VA Form 10-0400A(2002)
Computer Patient Record System (CPRS) Read Only Rules of Behavior for Veterans Service Organization (VSO)
Official Department of Veterans Affairs 10-0400A for Computer Patient Record System (CPRS) Read Only Rules of Behavior for Veterans Service Organization (VSO), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0403B(2002)
Medical Record Data Access List
Official Department of Veterans Affairs 10-0403B for Medical Record Data Access List, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0436(2009)
Application for an Off-Site Tissue Banking Waiver at a Non-Profit or Academic Institution
Official Department of Veterans Affairs 10-0436 for Application for an Off-Site Tissue Banking Waiver at a Non-Profit or Academic Institution, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0491(2020)
Academic Verification-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Official Department of Veterans Affairs 10-0491 for Academic Verification-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and...
VA Form 10-0491A(2020)
Addendum to Application for Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Official Department of Veterans Affairs 10-0491A for Addendum to Application for Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), sourced from the VA public forms catalog for veterans benefits, health care, education, records,...
VA Form 10-0491C(2020)
Annual VA Employment or Deferment Verification-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Official Department of Veterans Affairs 10-0491C for Annual VA Employment or Deferment Verification-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), sourced from the VA public forms catalog for veterans benefits, health care,...
VA Form 10-0491D(2020)
Education Program Completion Notice/Service Obligation Placement-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Official Department of Veterans Affairs 10-0491D for Education Program Completion Notice/Service Obligation Placement-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), sourced from the VA public forms catalog for veterans...
VA Form 10-0491E(2020)
Evaluation & Recommendation Form-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Official Department of Veterans Affairs 10-0491E for Evaluation & Recommendation Form-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), sourced from the VA public forms catalog for veterans benefits, health care, education,...
VA Form 10-0491F(2020)
Health Professional Scholarship Program (HPSP) Agreement
Official Department of Veterans Affairs 10-0491F for Health Professional Scholarship Program (HPSP) Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0491G(2020)
Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), & Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP)
Official Department of Veterans Affairs 10-0491G for Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), & Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP), sourced from the VA public forms...
VA Form 10-0491H(2020)
Notice of Approaching Graduation-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Official Department of Veterans Affairs 10-0491H for Notice of Approaching Graduation-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), sourced from the VA public forms catalog for veterans benefits, health care, education,...
VA Form 10-0491I(2020)
Notice of Change and/or Annual Academic Status-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Official Department of Veterans Affairs 10-0491I for Notice of Change and/or Annual Academic Status-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), sourced from the VA public forms catalog for veterans benefits, health care,...
VA Form 10-0491J(2020)
Request for Deferment for Advanced Education-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)
Official Department of Veterans Affairs 10-0491J for Request for Deferment for Advanced Education-Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), sourced from the VA public forms catalog for veterans benefits, health care,...
VA Form 10-0491K(2020)
VA Scholarship Offer Response-Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP)
Official Department of Veterans Affairs 10-0491K for VA Scholarship Offer Response-Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP), sourced...
VA Form 10-0491N(2020)
Veterans Healing Veterans Medical Access and Education Program Agreement
Official Department of Veterans Affairs 10-0491N for Veterans Healing Veterans Medical Access and Education Program Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0493(2025)
Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research
Official Department of Veterans Affairs 10-0493 for Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0525(2014)
Revocation of Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange
Official Department of Veterans Affairs 10-0525 for Revocation of Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0525A(2013)
Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange
Official Department of Veterans Affairs 10-0525A for Restriction of the Release of Individually-Identifiable Health Information Through eHEALTH Exchange, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0527(2015)
Request and Authorization to Release Protected Health Information to the Choice/PC3 Program
Official Department of Veterans Affairs 10-0527 for Request and Authorization to Release Protected Health Information to the Choice/PC3 Program, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-0998(2025)
Your Rights to Seek Further Review of Our Healthcare Benefits Decision
Official Department of Veterans Affairs 10-0998 for Your Rights to Seek Further Review of Our Healthcare Benefits Decision, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 10-10068(2025)
Camp Lejeune Family Member Program Application
Use VA Form 10-10068 to apply for health care benefits through the Camp Lejeune Family Member Program.
VA Form 10-10068A(2025)
Camp Lejeune Family Member Program Claim Form
Use VA Form 10-10068a to file a claim through the Camp Lejeune Family Member Program.
VA Form 10-10068B(2025)
Camp Lejeune Family Member Program Treating Physician Report
Use VA Form 10-10068b to provide a report from your health care provider when you apply to the Camp Lejeune Family Member Program.
VA Form 10-10116(2015)
Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research
Official Department of Veterans Affairs 10-10116 for Revocation of Authorization for Use & Release of Individually Identifiable Health Information for Veterans Health Administration (VHA) Research, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related...
Common mistakes to avoid
- Missing patient identifiers, policy numbers, dates of service, or provider details.
- Sending protected health information to the wrong recipient.
- Forgetting consent, release, signature, or representative authorization fields.