Enrollment

How do I become a patient?

Who is Eligible?

Enrollment is an open process designed to provide access for veterans to a comprehensive package of VA health care services. Any man or woman who was honorably discharged from the United States military prior to September 1980 is an eligible veteran. Individuals discharged after September 1980 must meet the following criteria:

• Must have been honorably discharged
• Must have completed at least two years of active duty (exceptions include Early Out, Hardship & Disability incurred or aggravated in the line of duty).

How Do I Enroll?

• You can enroll in person at our North Clinic.
• You can enroll electronically by completing the Online 10-10EZ form.
• You can also enroll by mailing or faxing the completed 10-10EZ form to the North Clinic at (702) 636-3007. To speed the enrollment process please also mail or fax a copy of your DD-214 or Honorable Discharge Certificate. You will also be asked to fill out a new supplemental form on Race and Ethnicity.
• For assistance you may also contact your Veteran Service Officer. For telephone listings please consult your local phone book under "Nevada State Offices," also look for "Veterans Affairs".

What Materials Will I Need for Enrollment?

You will need a valid photo Identification Card and a copy of your DD-214 Report of Separation (or equivalent form). If you do not have access to this form, you can go to the National Archives for instructions on how to obtain a copy.  The enrollment system requires that veterans provide the VA with a "means" test annually detailing their gross income and assets. This includes income for a veteran's spouse and dependent children.  Dependent information includes having spouses full name, social security number, date of birth, and bring in the marriage certificate.  For dependent children, have their full name, social security number, and their date of birth.


Will There Be Any Costs For Health Care?

See the Copayments and Charges web site.
 

How Can I Obtain More Information?

Veterans with questions regarding benefits or ability to pay are encouraged to contact their nearest Veterans Service Center. We are able to answer all questions, often right over the phone.  Please contact our Enrollment Center (North Clinic)at (702) 636-6380.

You can also call our toll-free Telcare number Monday through Friday between the hours of 8:00 a.m. and 4:30 p.m.: 1-888-838-7890.  Detailed information is available at the Veterans Health Administration's Eligibility website. 

Community or veterans groups who are interested in having a VA representative speak at their organization meeting on these and other VA programs please contact our Public Affairs Officer at (702) 636-3010.

About the Online 10-10EZ

You can enroll electronically using the Online 10-10EZ Application for Medical Benefits.

Submission of the online 10-10EZ application is fast and convenient and provides VA with the information to begin the enrollment process.  Online submission of information takes place on a secure server for confidentiality and security.
Each submission will be followed up with contact from a qualified veterans benefits counselor who will assist you in completing the enrollment process.