1010-EZ Albuquerque Medical Center Health Care Enrollment

The application for enrollment into VA Medical Care.
Albuquerque VA Medical Enrollment Form
 

21P-8416 Medical Expense Report

This will assist us in showing what your medical expenses are for enrollment into the VA Healthcare system.
Medical Expense Report Form

To complete these forms - please print out the form, fill out completely and bring to the Veterans Services Officer. We will ensure accuracy and completeness prior to submitting for enrollment. A copy of your DD-214 is required with all applications.