Forms Library

Official Department of Veterans Affairs 10-10163 for Request for and Permission to Participate in Sharing Protected Health Information through Health Information Exchanges, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10164 for Opt-Out of Sharing Protected Health Information Through Health Information Exchanges, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10169 for Volunteer Consent Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10171 for Veterans Health Administration (VHA) Veterans Care Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10171-NH for Veterans Care Agreements - Nursing Home, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10172 for Community Care Provider-Request for Service, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10173 for Veterans Grant Program Grant Agreement, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10176 for Environmental Hazard Registry (EHR) Worksheet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-1023 for Information Regarding Possible Claim Against Third Party, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10230A for Undue hardship review, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-1054C for Selective Menu-Modified Diet, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-1054G for Selective Menu-Modified Diet (Gray), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-1086 for Research Consent Form, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Use VA Form 10-10CG to apply for the Program of Comprehensive Assistance for Family Caregivers. Each time a new caregiver is appointed, a new VA Form 10-10CG is required.

Official Department of Veterans Affairs 10-10CG(S) for SOLICITUD PARA EL PROGRAMA DE ASISTENCIA INTEGRAL PARA CUIDADORES FAMILIARES - INSTRUCCIONES, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10CG(T) for APPLICATION PARA SA PROGRAMA NG KOMPREHENSIBONG TULONG PARA SA MGA TAGAPAG-ALAGA NG PAMILYA - MGA INSTRUKSYON, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

If you're the spouse or child of a Veteran with disabilities, or the surviving spouse or child of a Veteran who has died, use VA Form 10-10d to apply for health insurance through CHAMPVA (the Civilian Health and Medical Program of the Department of Veterans Affairs).

Official Department of Veterans Affairs 10-10EC for Application for Extended Care Services, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10EZ-S for Application For Health Benefits- Spanish, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Use VA Form 10-10EZR if you already receive VA health care benefits, and you need to update your personal, insurance, financial, or military service history information.

Official Department of Veterans Affairs 10-10EZR-S for Health Benefits Update Form- Spanish, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10HS for Request for Hardship Determination, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10M for Medical Certificate, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 10-10SH for State Home Program Application for Veteran Care Medical Certification, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.