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Click ‘Get Form’ to open VA Form 10-0137 in the editor.
Begin with Part I: Personal Information. Fill in your name, date of birth, address, and phone numbers. Ensure all details are accurate for proper identification.
Move to Part II: Durable Power of Attorney for Health Care. Here, you can appoint a Health Care Agent by placing your initials next to your choice and providing their contact information.
If desired, designate an Alternate Health Care Agent by completing the relevant section with their details.
Proceed to Part III: Living Will. Indicate your preferences regarding life-sustaining treatments by initialing the appropriate boxes based on your wishes.
Complete any optional sections for mental health preferences and additional preferences if applicable.
In Part IV, sign and date the form. Ensure two witnesses sign as well, confirming they observed you signing the document.
Start using our platform today to easily fill out VA Form 10-0137 online for free!
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Dec 18, 2025 Use this form to learn about your rights to accept or refuse medical treatment, and to complete a power of attorney for health care or a livingRead more
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by LK Barry 2013 OVERVIEW OF VA ADVANCE DIRECTIVES. The VA advance directive form is VA Form 10-0137, VA. Advance Directive: Durable Power of Attorney for Health Care andRead more
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