Compensation Above Rate Approval Request Form

This form is to be used for requesting above rate approval to provide compensation medical assessment and psychiatric report services to eligible veterans prior to providing the service and is to be used for medical assessments where the service is not outlined on Fee notes for GPs and specialists | Department of Veterans’ Affairs.

If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.