Department of Veterans Affairs Forms
4 of 4 Results
Food Service Reservation Form
To reserve Food Services during an event at CT Veterans Home.
Request for Authorization to Release Medical Records/Health Information
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.
Use of Facility Auditorium Form
To reserve the Veterans Home Auditorium.
VA Form 10-10EZ, Application for Health Benefits
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.