MCGTN VSO Client Intake

Veterans Services Client Portal

Existing Client Updates

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Use the fields below to indicate changes to your information.

About Me Identity Verification

First Name: *

Middle Initial: *

Last Name: *

Last 4 SSN: *

Date of Birth: *

Contact Info Updates?

Phone Number:

Email Address:

Mailing Address

Number and Street: Apt/Suite:

City:

Zip Code:

County/State:

Reminders Changes?

Would you like appointment reminders?: Yes - Text
Yes - Email
Yes - Text and Email
No

If yes to texts, what is your cell phone carrier?: If other, please describe:

Bacground Information Updates?

Mark all that apply:
I am homeless
I have a Terminal Illness
I am over 85
None of the above

Do you have any pending Appeals and/or an Attorney? *

NOTE: If you have a pending appeal, changing your representative during the appeals process —especially if you have an attorney— can disrupt your case, cause delays, and affect how it is handled. Before signing any forms, please inform the front desk if you have a pending appeal and/or an attorney.

Change Appointment Details?

Appointment type: *

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

Officer preference:

Upload Additional PDF Documents

Additional Documents: (if applicable)

Examples of documents to upload:

Retirement Orders
Marriage Certificate/SSN for spouse
Birth Certificate/SSN for dependent children (18 & under or 19-23 college)
Medical Records
Doctor's Note
Divorce decrees for previous marriages
Direct deposit information, bank acct, & routing number (Must BE ON EITHER a Voided Check OR Direct Deposit Slip from bank OR SF-1199a completed by financial institution)
Other relevent documents