MCGTN VSO Client Intake

Veterans Services Client Portal

New VSO clients must fill out 2 VA forms to book their first appointment. The forms can be completed in person or can be completed online.

You can submit your forms online. The video below will walk you through the steps of filling out the documents.

Please keep in mind that this can only be completed on a laptop or desktop computer. It cannot be completed on a mobile device/cell phone.

Take note of where you have saved these files. They will need to be uploaded at the end of this form to submit your request.

First Name: *

Last Name: *

Sex: *

Social Security Number: *

Date of Birth: *

Phone Number: *

Email Address: *

Address: *

County: *

Would you appointment reminders via text?: *

Yes

If yes, what is your cell phone carrier?:

Have you ever filed a claim with the VA before?: *

Do you have a disability percentage rating from VA?: *

Do you have any of the following emergent indicators?: *

More than 85 years old
Homeless Veteran
Terminal Illness
None of the above

Appointment type: *

If you selected "other" appointment type, please describe: *

Officer preference: *

Both documents MUST be signed to book a meeting.

REQUIRED SIGNATURES

Any of the following styles are acceptable:

* Typed Signature (Recommended)

* Written Signature

* Digitally Certified Signature

Instructions are included in the video at the top of this page.

Please upload your filled VA FORM 21-22: *

Please upload your filled VA FORM 0966: *

Please upload your FORM DD214 (if applicable):