VA Forms and Information
VA ELIGIBILITY & ENROLLMENT INFORMATION
- Am I Eligible?
- Complete the 10-10EZ form online or print the 10-10EZ form
- Income Threshold Tables
- Copays
- Eligibility & Enrollment Brochure
- Vietnam Veteran Agent Orange Eligibility
- Beneficiary Travel Benefits
- Dental Eligibility
- Why Choose VA Butler Healthcare
VA BUTLER PROGRAMS & SERVICES' BROCHURES/FACT SHEETS
- Adult Day Health Care
- Caregiver Support
- Domiciliary Care
- Homeless Veterans
- Hospice Care
- HUD-VASH
- Korean War Era Veterans
- Maternity Care for Women Veterans
- Military Sexual Trauma
- Minority Veterans
- MOVE! Program
- Palliative Care
- Pharmacy
- Polytrauma
- Rehabilitation Services
- Returning Service Members (OEF/OIF/OND)
- Telehealth
- TeleMOVE!
- Veterans Justice Outreach (VJO)
- Vietnam Era Veterans
- Visual Impairment Services
- Women Veterans Health Care
VA BUTLER HEALTH & WELLNESS PUBLICATIONS
- Cervical Cancer Care
- Chronic obstructive pulmonary disease (COPD)
- Dementia Safety & Dementia Medications
- Diabetes
- Diaster Preparedness
- Fall Prevention
- Mindful Memory
- Pastoral Care
- Post Traumatic Stress Disorder (PTSD)
- Telephone Lifestyle Coaching
- Tobacco Cessation
- Notice of Privacy Practices
- Patient & Nursing Home Resident Rights & Responsibilities
- Request for Authorization to Release Medical Records (VA 10-5345)
- Individuals' Request for a Copy of Their OwnHealth Information (VA 10-5345a)
