IMPORTANT: Virtual Travel, Enrollment, and Records Services

Veterans Health Administration sent this bulletin at 03/31/2020 11:46 AM EDT

View as a webpage / Share
West Palm Beach VA Headerheader for closure of Eligibility and enrollment

ELIGIBILITY / ENROLLMENT

Online: www.va.gov/healthbenefits/online/ Phone: 877-222-8387
Drop Box: Room 1A-170 at West Palm Beach VA Medical Center
Blank 10-10Ezs will be provided 		Mail:
Attn: MAS/Enrollment 136E
West Palm Beach VA Medical Center
7305 N Military Trail
West Palm Beach, FL 33410
 

10-10Ezs can be obtained online:
www.va.gov/vaforms/medical/pdf/ 10-10EZ-fillable.pdf

RELEASE OF INFORMATION (ROI) Request Medical Records

Phone: 561-422-6681
Secure Messaging: My HealtheVet
www.myhealth.va.gov/mhv-portal-web/home 		Drop Box:
Room 1A-170 at
West Palm Beach VA Medical Center
Blank 10-10Ezs will be provided

BENEFICIARY TRAVEL Submit requests with the 30-day time frame

Mail:
Attn: MAS/Beneficiary Travel 136
West Palm Beach VA Medical Center
7305 N Military Trail
West Palm Beach, FL 33410		 Drop Boxes:
Rooms BA-101, 9B Primary Care, and Main Atrium at
West Palm Beach VA Medical Center

VA Form 10-3542 (VA Travel Pay Form) can be found online:
www.va.gov/vaforms/medical/pdf/vha-10-3542-fill.pdf

Facility Status Updates