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Get DD 2569 2016-2024

, Veterans Health Identification Card (VHIC), Veterans Choice Card), that can be copied or scanned by the MTF representative, please provide it and proceed to Item 8; otherwise, please complete items 7.a.(1) through (5) below.) (2) Plan ID (3) Expiration Date (YYYY/MM/DD) (1) Member ID (4) VA Facility Name (e.g., primary care/specialty clinic) that assists in coordinating your care (5) VA Facility Address and Telephone Number ( b. NO. (Proceed to Item 8.) ) 8. DO YOU HAVE OTHER HEALTH INSURAN.

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