Get Au Va D1216s 2010-2025

This guide provides a clear and supportive overview of how to complete the AU VA D1216S form online. By following the steps outlined below, users can efficiently fill out the form necessary for treatment vouchers for services rendered to patients.

Follow the steps to fill out the AU VA D1216S online effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the Patient Details section by entering the patient's file number, first name, initials, and surname. If the file number is not available, include their date of birth and address.
3. Write the Item Number or Description of Service in the designated space.
4. Fill in the ‘Condition Treated’ section only if the veteran holds a White card for specific conditions or if the service is an emergency.
5. Complete the 'Treatment Location' section only if the service takes place outside of standard rooms. Specify the name of the hospital if applicable.
6. If pathology is requested, provide a brief description in the section provided.
7. Ensure that the patient provides all requested information and signs the form. If they are unable to sign, sign on their behalf in the appropriate section.
8. For emergency services, ensure to check and sign the relevant section indicating it is an emergency.
9. Submit the Departmental copy along with any relevant documents with your claim, ensuring the patient receives their copy. Keep the Claimant copy for your records.
10. Once completed, save your changes, download the form, or print it as needed.

Complete your documents online today to streamline your process.