Optical treatment prior financial approval request
How can I access this form?
na
Form file format
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.