Department of Veterans Affairs Forms
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To reserve Food Services during an event at CT Veterans Home.
The form authorizes release of information in accordance with the Health Insurance Portability and Accountability Act, 45 CFR Parts 160 and 164, 5 U.S.C. 552a, and 38 U.S.C. 5701 and 7332 that you specify. Your disclosure of the information requested on this form is voluntary.
To reserve the Veterans Home Auditorium.
With VA health care, you’re covered for regular checkups with your primary care doctor and appointments with specialists (like cardiologists, gynecologists, and mental health providers). You also gain access to home health and elder care, plus medical equipment, prosthetics, and prescriptions.