Official Healthcare Forms
Official-source healthcare, Medicare, benefits, authorization, claim, provider, and patient forms from government agencies.
Use current official-source forms
These pages prioritize forms with government or issuing-authority sources, source links, PDF workflows, and clear filing context. Always confirm final filing rules, fees, and submission channels with the official source.
Before filing
- Confirm the health program, beneficiary, provider, authorization, or claim context.
- Check privacy, identity, medical evidence, and signature requirements before submission.
- Use the issuing agency source page for current filing instructions and supporting documents.
342 Healthcare Forms
Page 14 of 15
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.
VA Form FL-10-431(1989)
Letter of Approval for Fee-Based Outpatient Medical Treatment
Official Department of Veterans Affairs FL-10-431 for Letter of Approval for Fee-Based Outpatient Medical Treatment, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.