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Introduction This booklet is the Home Improvement and Structural Alterations (HISA) manual. Please read this booklet thoroughly and return the required documentation to Prosthetics when you are ready to proceed. You must return the documents indicated below to prosthetics within 30 days after a consult has been submitted by a VAMC Physician or approved Fee Basis Provider. What you will need to apply 1. A Prescription or Prosthetic Consult from a physician: 2. Completed forms from the booklet.

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