VA Form 10-0454 Military Treatment Facility Referral Form to VA Liaison

VA Form 10-0454 Military Treatment Facility Referral Form to VA Liaison

What Is VA Form 10-0454?

This is a legal form that was released by the U.S. Department of Veterans Affairs on February 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VA Form 10-0454?
A: VA Form 10-0454 is a Military Treatment Facility Referral Form to VA Liaison.

Q: What is the purpose of VA Form 10-0454?
A: The purpose of VA Form 10-0454 is to facilitate referrals from the military treatment facility to the VA liaison.

Q: Who uses VA Form 10-0454?
A: VA Form 10-0454 is used by military treatment facilities and VA liaisons.

Q: What information is required on VA Form 10-0454?
A: VA Form 10-0454 requires information such as patient details, medical condition, and recommended VA services.

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Form Details:

  • Released on February 1, 2017;
  • The latest available edition released by the U.S. Department of Veterans Affairs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of VA Form 10-0454 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 10-0454 Military Treatment Facility Referral Form to VA Liaison

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