Get Va 28-8861 1990-2026

The VA 28-8861 form is essential for veterans seeking medical services under Chapter 31 of Title 38, U.S.C. This guide provides comprehensive instructions to assist users in completing the form accurately and effectively online.

Follow the steps to complete the VA 28-8861 form online.

1. Press the ‘Get Form’ button to access the VA 28-8861 form and open it in your preferred editing tool.
2. Enter the first, middle, and last name of the veteran in the designated section. Ensure the spelling is correct.
3. Provide the veteran's telephone number, including the area code, so that contact can be made if necessary.
4. Input the veteran's social security number accurately in the corresponding field.
5. Fill in the address of the veteran. Include the street address, city, state, and zip code.
6. List the service dates of the veteran in the format of month, day, and year for both the start and end dates.
7. Enter the veteran's VA file number, which can typically be found on previous VA correspondence.
8. Complete the date of birth field using the format of month, day, and year.
9. Describe the rehabilitation objective of the veteran in the specified section.
10. Indicate the anticipated date for the veteran's rehabilitation.
11. Detail any service-connected disabilities in the specified section.
12. Provide the combined service-connected disability rating in percentage.
13. List any nonservice-connected disabilities that may affect the veteran.
14. Describe the reasons for referral as clearly and comprehensively as possible.
15. Select the preferred day and time for the appointment with medical services.
16. The vocational rehabilitation specialist or counseling psychologist must provide their signature in the designated area.
17. Include the telephone number of the specialist or psychologist.
18. If applicable, in the second part, report the services provided and the disposition of the case following the instructions provided.
19. The examining physician should sign and note the date of the signature.
20. Finally, users can save changes, download, print, or share the completed form as needed.

Complete your forms online to ensure timely processing and support.