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OMB Number: 2900-0648 Est. Burden: 4 minutes Foreign Medical Program (FMP) Registration Form Please complete this form and submit it to the FMP office at the address listed below or by FAX to 1-303-331-7803.

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How to fill out the Foreign Medical Program online

This guide provides detailed instructions on completing the Foreign Medical Program registration form online. Follow these steps to ensure accurate and efficient submission.

Follow the steps to fill out the Foreign Medical Program form online.

  1. Click ‘Get Form’ button to obtain the form and access it in the appropriate format.
  2. Complete the personal information section by entering your last name, first name, middle initial, and US Social Security Number (SSN). If you do not have an SSN, indicate that it is not applicable.
  3. Provide your VA claim file number. If you do not have a VA claim file number, write N/A.
  4. Fill in your physical address, ensuring to include the street address, city, state, and ZIP code.
  5. Enter your mailing address if different from your physical address. Again, include all necessary details.
  6. Include your country of residence in the designated field.
  7. Provide a telephone number where you can be reached.
  8. If applicable, include your facsimile (FAX) number.
  9. If you are the veteran or fiduciary filling out this form, sign it. If completing electronically, type your name where indicated.
  10. Enter the date on which you are completing the form.
  11. Review all the information you've entered for accuracy. If everything is correct, save the changes to ensure your information is preserved.
  12. Once you have completed the form, you can download, print, or share it as needed. Make sure to submit it to the FMP office via mail or fax.

Begin completing your Foreign Medical Program registration form online now.

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You must have been called to active duty by a federal order and completed the full period for which you were called or ordered to active duty. If you had or have active-duty status for training purposes only, you don't qualify for VA health care.

The VA Manila Outpatient Clinic in the Philippines is the only VA health care facility located in a foreign country and is located on U.S. Embassy property. VHA Directive 1521 and Title 38 United States Code (U.S.C.)

The Foreign Medical Program (FMP) is a Department of Veteran's Affairs' (VA) health care benefits program for Veterans with VA rated service-connected conditions that are residing or traveling abroad.

Basic Eligibility: A person who served in the active military, naval, or air service and who was discharged or released under conditions other than dishonorable may qualify for VA health care benefits including qualifying Reserve and National Guard members.

You can also apply in any of these 4 ways Fill out an Application for Health Benefits (VA Form 10-10EZ). ... Fill out an Application for Health Benefits (VA Form 10-10EZ). ... Go to your nearest VA medical center or clinic. ... Or get help through your state's Department of Veterans Affairs.

Generally, you must have 90 days or 24 months of active service (depending on when you served) to qualify. *You are also eligible if you previously completed 24 continuous months of active service prior to the date above, or received an early discharge under Section 1171 of Title 10.

Go to eBenefits.va.gov to find a Veterans Service Officer who can provide free, expert assistance. Gather supporting documents, including your DD-214, service and private medical records, and buddy statements. Initiate your claim at eBenefits.va.gov or call 1-800-827-1000 for assistance.

If you're a Veteran who lives overseas, you remain entitled to the benefits and services you earned through your military service. Most VA benefits are payable regardless of your place of residence or nationality.

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