Fill out VA Form 10-0137 Online in 2026

VA Form 10-0137 is an important document that allows you to express your wishes about health care decisions if you can't speak for yourself. It includes two parts: a Durable Power of Attorney for Health Care, where you designate someone to make medical decisions for you, and a Living Will, which outlines your preferences for treatment. Completing this form ensures that your health care choices are respected, even when you cannot communicate them. It's crucial for protecting your rights and ensuring your wishes are followed.

VA Form 10-0137 is used to outline health care preferences and designate a person to make medical decisions on your behalf. Here’s what it helps you do:

• to designate a durable power of attorney for health care.
• to express your wishes for medical treatment.
• to provide guidance for end-of-life decisions.

1. Review the form sections for Durable Power of Attorney and Living Will.

2. Provide your personal information in the designated fields.

3. Select your health care agent and alternate, if applicable.

4. Detail your medical preferences and any specific instructions.

5. Sign the form where indicated, or create an electronic signature.

6. Download the completed form.

7. Submit the form according to local VA guidelines.

Veterans fill out VA Form 10-0137 to authorize medical information release. Authorized representatives may assist with this process.

After the form is completed, healthcare providers use it to confirm they have permission to share a veteran's medical records.

Individuals under 18 years old do not need to complete VA Form 10-0137, as minors cannot create a legal advance directive.

If someone already has a durable power of attorney for health care or a living will that meets state laws, they may not need to fill out this form again. Additionally, those in good health without significant medical conditions may opt not to complete the form, especially if they feel confident in making their healthcare decisions.

The deadline for VA Form 10-0137 is not fixed. It should be completed and submitted whenever you wish to express your health care preferences, especially during significant life events or health changes.

It’s important to review and update this form regularly to ensure it reflects your current wishes. Keep a copy for your records and share it with your healthcare provider and family.

To get a blank VA Form 10-0137, visit our website. We have a pre-loaded version of the form ready for you to fill out and download.

This form is issued by the Department of Veterans Affairs

To sign the VA Form 10-0137, start by using CookPDF to access the blank version of the form. Click on “Fill Form” to load the PDF editor, then fill out all necessary fields, including your name and relevant details.

Once you have completed the form, you can create a simple electronic signature. After signing, click “Done” to download the completed document. Always consult official sources for specific signature requirements to ensure compliance.

TTo submit VA Form 10-0137, send it to the Department of Veterans Affairs (VA) for processing.

Submitting options: mail or in person at your local VA facility.