VA Request for Services Form and Current Instructions

Use the current VA Form 10-10172 when requesting additional Community Care services: https://www.va.gov/vaforms/medical/pdf/VA%20Form%2010-10172.pdf

Follow our current guide, How to Request Additional VA Community Care Services, for preparing the request and coordinating with Help Therapy: https://helptherapy.freshdesk.com/support/solutions/articles/63000260616-how-to-fill-out-your-rfs-request

The documentation and delivery route depend on the current form and the VA facility’s instructions. An RFS is a request, not permission to continue care outside an existing authorization. For help, contact referrals@helptherapy.com.