Get Directions - Va Ann Arbor Healthcare System - Va Ann Arbor ...

This guide will assist you in completing the Directions form for the VA Ann Arbor Healthcare System. By following these steps, you will be able to submit your application successfully and ensure that your needs are met.

Follow the steps to complete your application effectively.

1. Press the ‘Get Form’ button to access the form and open it in your preferred document editor.
2. Read through the instructions carefully to understand all required documents and information needed for your application.
3. Complete the VA Form 10-0103 HISA Application by providing your personal details, including your name, social security number, and address.
4. Obtain a prescription or prosthetic consult from your VA physician to indicate the modifications needed and their medical justification.
5. Gather necessary documentation, which includes photographs of the area to be modified and a quote from a licensed contractor.
6. If you do not own your home, include a notarized statement from the property owner granting permission for the improvements.
7. Check that all fields in the form are filled out appropriately and verify that you have included all required attachments.
8. Once you have completed the application, save your changes and consider downloading or printing the form for your records.
9. Submit the entire application packet to the Prosthetics and Sensory Aids Service at the specified address.

Ensure your application is complete and submit everything online for a smoother process.