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Complete only the sections that apply to you; Type of benefit applying for: Web the primary purpose of this form is to request enrollment in the va health care system (apply for medical benefits). Before you call or go to the va health care facility, gather the necessary materials identified in step 2 of the instructions and complete as much.
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This form is used by the united states department of veterans affairs. The va uses the information provided on the form to determine the veteran’s eligibility for medical benefits. Usually, the form only takes about 30 minutes to complete. Before you call or go to the va health care facility, gather the necessary materials identified in step 2 of the.
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