VA Form VA 10-0137

2025 Printable Template

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Form last updated: 03/2024. Please verify this is the current version before use.

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What is a VA 10-0137 used for?

VA Form 10-0137 is used by veterans to communicate their health care preferences and appoint a representative to make medical decisions on their behalf if they are unable to do so. This form includes a Durable Power of Attorney for Health Care and a Living Will, ensuring that the veteran's medical wishes are respected even when they cannot express them themselves.

Who needs to fill out a VA 10-0137 form

Veterans enrolled in VA health care who wish to designate a health care representative and outline their medical treatment preferences.

How to fill out a VA 10-0137 online?

Follow these steps to complete your VA 10-0137 form online.

Step 1
Step 1
Access the form from the VA website or a VA medical facility.
Step 2
Step 2
Fill in your personal details accurately.
Step 3
Step 3
Choose your health care agent and any alternates.
Step 4
Step 4
Specify your medical treatment preferences.
Step 5
Step 5
Sign the form in the presence of a witness.
Step 6
Step 6
Submit the form to your VA health care provider and retain a copy for your records.

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Frequently Asked Questions

Find quick answers to common questions about our PDF editor.

It allows veterans to outline their health care preferences and appoint a medical decision-maker.

You can seek help from veterans' service organizations or contact the VA for guidance.

It should be submitted whenever you want to express your health care preferences, especially during significant life events.

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