Information if you're affected by coronavirus (COVID-19).
Optical treatment prior financial approval request
Form ID:
D1399
Audience:
For providers
Optometrist, Orthoptist and Optical dispenser
Used for requesting prior financial approval to provide optical services/items to eligible veterans.
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.
How can I access this form?:
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