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
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VA Form 29-0309(2024)
Direct Deposit Enrollment/Change
Official Department of Veterans Affairs 29-0309 for Direct Deposit Enrollment/Change, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-0975(2024)
Authorization to Disclose Personal Information to a Third Party (Insurance)
Official Department of Veterans Affairs 29-0975 for Authorization to Disclose Personal Information to a Third Party (Insurance), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-1546(2024)
Application for Cash Surrender-Government Life Insurance
Official Department of Veterans Affairs 29-1546 for Application for Cash Surrender-Government Life Insurance, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-1549(2024)
Application for Change of Permanent Plan (Medical)
Official Department of Veterans Affairs 29-1549 for Application for Change of Permanent Plan (Medical), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-336(2025)
Designation of Beneficiary-Government Life Insurance
Official Department of Veterans Affairs 29-336 for Designation of Beneficiary-Government Life Insurance, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-336A(2025)
Supplemental Designation of Beneficiary-Government Life Insurance
Official Department of Veterans Affairs 29-336A for Supplemental Designation of Beneficiary-Government Life Insurance, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-352(2023)
Application for Reinstatement (Insurance Lapsed More Than 6 Months)
Official Department of Veterans Affairs 29-352 for Application for Reinstatement (Insurance Lapsed More Than 6 Months), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-357(2022)
Claim for Disability Insurance-Government Life Insurance
Official Department of Veterans Affairs 29-357 for Claim for Disability Insurance-Government Life Insurance, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-380(2004)
Application for Protection of Commercial Life Insurance Policy
Official Department of Veterans Affairs 29-380 for Application for Protection of Commercial Life Insurance Policy, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-4125(2024)
Claim for One Sum Payment-Government Life Insurance
Official Department of Veterans Affairs 29-4125 for Claim for One Sum Payment-Government Life Insurance, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-4125A(2024)
Claim for Monthly Payments-National Service Life Insurance
Official Department of Veterans Affairs 29-4125A for Claim for Monthly Payments-National Service Life Insurance, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-541(2024)
Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary
Official Department of Veterans Affairs 29-541 for Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-586(2025)
Certification of Change for Correction of Name-Government Life Insurance
Official Department of Veterans Affairs 29-586 for Certification of Change for Correction of Name-Government Life Insurance, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-8485(2024)
Application for Ordinary Life Insurance-Replacement Insurance for Modified Life Reduced at 65
Official Department of Veterans Affairs 29-8485 for Application for Ordinary Life Insurance-Replacement Insurance for Modified Life Reduced at 65, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-8485A(2024)
Application for Ordinary Life Insurance-Replacement Insurance for Modified Life Reduced at Age 70
Official Department of Veterans Affairs 29-8485A for Application for Ordinary Life Insurance-Replacement Insurance for Modified Life Reduced at Age 70, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form 29-888(2024)
Insurance Deduction Authorization
Official Department of Veterans Affairs 29-888 for Insurance Deduction Authorization, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form FL-10-100(1980)
Request to Field Station for Transfer of or Record of Prosthetic Services
Official Department of Veterans Affairs FL-10-100 for Request to Field Station for Transfer of or Record of Prosthetic Services, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form FL-10-212(2011)
Request for Medical Records
Official Department of Veterans Affairs FL-10-212 for Request for Medical Records, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form FL-10-212LP(2011)
VA Request for Medical Records and/or Information - Large Print
Official Department of Veterans Affairs FL-10-212LP for VA Request for Medical Records and/or Information - Large Print, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form FL-10-215(1980)
Prosthetic Service Card Instructions
Official Department of Veterans Affairs FL-10-215 for Prosthetic Service Card Instructions, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form FL-10-216(1987)
Instructions for Issuance of New Prosthetic Service Card
Official Department of Veterans Affairs FL-10-216 for Instructions for Issuance of New Prosthetic Service Card, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form FL-10-219(1986)
Notice to Veteran of Loan of Medical Accessories
Official Department of Veterans Affairs FL-10-219 for Notice to Veteran of Loan of Medical Accessories, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form FL-10-407(1976)
Acknowledgement of Application for Outpatient Dental Care
Official Department of Veterans Affairs FL-10-407 for Acknowledgement of Application for Outpatient Dental Care, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
VA Form FL-10-424(1984)
Denial Letter for Outpatient Dental Treatment
Official Department of Veterans Affairs FL-10-424 for Denial Letter for Outpatient Dental Treatment, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.
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.