Please use this brief form for submitting input on the Patient Forms web page. * Required field What type of location do you work in? * Military Treatment Facility Veterans Affairs Facility Civilian facility treating Veterans Civilian private practice Other: (Please specify below) If Other, Please Specify What type of input do you have? * Leave a comment Ask a question Note a problem with a form or handout on the page Other: (Please specify below) If Other, Please Specify Please leave your comment or question below: *
