D0931 Spectacles Prescription - Department of Veterans Affairs - dva gov 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by completing the 'Patient Details' section. Enter the patient's file number, first name, initial, and surname. If the file number is unknown, provide the date of birth and address.
3. Fill out all relevant sections of the form, ensuring accuracy in each field.
4. If applicable, complete the 'Condition Treated' section only if the veteran holds a Repatriation Health Card for Specific Conditions (WHITE CARD).
5. Review all entries for completeness and correctness before proceeding to print.
6. Once completed, print the form for signatures from both prescriber and dispenser as required.

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