All veterans are encouraged to enroll in the Loma Linda VA Healthcare System. To begin the process, please complete an Application for Health Care Benefits. Print this form. Then fax or mail to us at:

VA Loma Linda Healthcare System
Business Office - Eligibility (136-161)
11201 Benton Street
Loma Linda, CA 92357  
fax: (909) 777-3815

You can also bring the form to our Eligibility Office which is located on the first floor of the Medical Center in the main lobby.

Whether mailing or bringing your application, please include the following items —

• a copy of both sides of your current insurance card (including Medicare or Medicaid)
• a copy of your DD214, 'Armed Forces Report of Transfer or Discharge'
• (Purple Heart recipients only) a copy of your award letter if 'Purple Heart' is not noted on your DD214

To speak to someone in our eligibility office, please call (909)825-7084 (or 1-800-741-8387), extension 5312.