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VA Health Care Application

form
What it is for
Enrollment application for VA health care. Enrollment determines priority group, which in turn determines copays.
Form number
10-10EZ
Phone
877-222-8387

The 10-10EZ enrolls a veteran in VA health care and assigns a priority group. There is no deadline to apply, and enrolling does not require giving up other coverage.

Not affiliated with or endorsed by the U.S. Department of Veterans Affairs. Always confirm details on the official page linked above.
Go to the source
Open official page
Form 10-10EZ
Call 877-222-8387