Registration & Procedures List For Veteran's Care
Practices are encouraged to provide basic preventive and restorative procedures at no or minimal cost to underserved veterans.

In addition, they are encouraged to reduce fees associated with laboratory procedures. The following form allows us to create a directory of practices able to provide these services. Thank you!
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Office Name: *
Name of Doctor(s) in the Practice: *
Contact Person for Appointments:
Office Phone Number: *
Office Address (street, suite number if applicable, city, zip code): *
Office Email Address: *
Office Website
List of Procedures
Practices are encouraged to provide basic preventive and restorative procedures at no or minimal cost to underserved veterans.

In addition, they are encouraged to reduce fees associated with laboratory procedures. Please choose additional specialty procedures from the list below that you are willing to provide:
Endodontic Therapy
Oral Surgery
Periodontal Procedures
Removable Prosthetics
Miscellaneous Procedures
Other
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