Apply to the Healthcare Center Respite Care


For assistance completing this application:

  • Ask VA to help you fill out the form by calling us at 1-877-222-VETS (8387).
  • Main Agency Phone Number: (860) 616-3600
  • Contact the Enrollment Coordinator at your local VA health care facility.
  • Contact a National or State Veterans Service Organization.

Mail the original application and supporting materials to:
Health Eligibility Center
2957 Clairmont Road, Suite 200
Atlanta, GA 30329