Share with your care team
Provide copies of the completed advance directive under the care team’s instructions. This is not a benefits claim or a compensation evidence packet.
Your health care team and chosen health care agent
VA Form 10-0137 — Record health care wishes and choose an agent
Record wishes for medical, mental-health, long-term and other care, and name a health care agent. This does not appoint a VA-benefit fiduciary or claims representative.
Use the current official form
Revision: March 2024.
Use the official page to download the current directive and VA Form 10-0137A instructions. A complete PDF walkthrough and local reader are not provided.
When this document applies
For advance care planning. Read the official form and companion instructions for signing, witnesses and any applicable authority.
Submission instructions
Official purpose and displayed March 2024 revision checked; no annotated fields or full-PDF audit.