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