**Veterans' Health Matters**\
The Wellness Publication from the VA Sierra Pacific Network\
Volume 3, 2008

**Families: Key Caregivers of Injured Vets\
**

Today, thousands of military personnel are returning from Iraq and
Afghanistan, wounded and scarred in ways that would have proven fatal in
earlier wars. The types of wounds they suffer, largely caused by
explosions of enormous force to which they've been exposed, have led to
such previously unfamiliar terms as Post Traumatic Stress Disorder
(PTSD), Polytrauma, and Traumatic Brain Injury (TBI). These injuries are
often so severe and complex that they require lengthy and constant care
-- care which is largely becoming the primary role of family members.

In response, the VA has a number of programs to help these family
members care for their wounded and injured spouses and children. These
programs include: Fisher Houses; the Readjustment Counseling Service (or
Vet Center Program), and the OEF/OIF Family Services Program.

**Fisher House**

A Fisher House is "a home away from home" for families of patients
receiving medical care at major military and VA medical centers.
Currently, there are 38 Fisher Houses, including one at the VA Palo Alto
Health Care System.

Don Thompson came to Palo Alto from his home in Louisiana several months
ago to be close to and help care for his 21-year-old son, Cory, who was
in a coma after suffering a brain injury. Don reports that Cory is now
making great progress, thanks in large part to the Polytrauma
Rehabilitation Center.

Don has been living at Fisher House, where he also serves as the
unofficial "sous chef." "It's the least I can do," he says. "The folks
here are doing such a great job for my son that I just try and give back
any way I can."

These programs, covering hospice and palliative care, spinal cord
injury, organ transplant, PTSD and TBI, are critical programs and family
members often visit and comfort their loved ones during rehabilitation
that requires treatment lasting six months or longer. Most cannot afford
the \$150 per night average hotel accommodations in Palo Alto.

However, more than just a free place to stay, the Fisher House also
serves as a haven for many of the families. For example, the wife of an
injured Marine, just 21 years old, was eight months pregnant with their
first baby when her husband was badly injured in Iraq. She arrived at
Palo Alto knowing no one, but the other families at the Fisher House
literally adopted her.

VA ensured she had prenatal health care at Stanford Hospital, where she
also delivered her baby. Afterward, she said, "I had so much attention,
there was never a time I was sad or lonely. I wish everyone could have
had the kind of family I had at the Fisher House. I felt so loved."

Chaplains are also available to provide comfort and counsel to family
members. "We constantly watch for people in distress," says Tram
Le-Nguyen, Fisher House Manager in Palo Alto, "so we can refer them to
our chaplains if they so desire. Just having someone to listen to them
can be a great stress reliever."

**Vet Centers**

The stated mission of the Vet Center program is to "welcome home war
veterans with honor by providing quality readjustment counseling in a
caring manner. Vet Centers understand and appreciate veterans' war
experiences while assisting them and their family members toward a
successful post-war adjustment in or near their community."

The program covers all combat veterans, including federally activated
Reserve and National Guard personnel and their families. Services
available at the 232 Vet Centers include: individual, group and
marital/family counseling; bereavement counseling; medical referrals;
assistance in applying for VA Benefits; employment counseling, guidance
and referral; alcohol/drug assessments; information and referral to
community resources; military sexual trauma counseling and referral; and
outreach and community education.

Because of the highly sensitive and confidential nature of the program,
the Vet Centers are located away from VA medical centers, typically in
storefront facilities in downtown areas. Many of the Vet Center
personnel are combat veterans themselves.

Sunny Morgan, MSW, is the Team Leader at the Vet Center in Chico,
California. "Our programs," she reports, "are very inclusive of families
and of the entire community. For example, we regularly host 'We Care'
meetings for family members of personnel serving in combat zones, and we
offer programs for the spouses of personnel suffering from PTSD."

**Other Resources**

The VA also offers other programs specifically geared to returning
service members and their families. Gail McBride, LCSW, is the
Supervisory Social Worker who heads up the OEF/OIF Family Services
Program, based in Menlo Park. 'The program," she reports, "is geared
toward OEF/OIF returnees. It includes counseling and educational
services for them, as well as for their parents, spouses and other
family members."

Among the family-oriented VA resources is the recently introduced Sesame
Street Kit. The kit is a bilingual, multimedia outreach program designed
to help support military families with children ages 2-5, experiencing
deployments, multiple deployments, or a parent returning home who has
been changed due to a combat-related injury.

The title of the kit is: *Talk, Listen, Connect: Deployments,
Homecomings, Changes* / Hablen, Escuchen, Conecten. All VA libraries now
have a copy for circulation, and the call number to locate the material
in the libraries is: WS 105.5 .F2 T146 2008.

**A Look to the Future\
**

It was an honor to be appointed as Network Director of the VA Sierra
Pacific Network -- VISN 21, a network I've been a part of for almost 20
years. In this position, I have the opportunity to direct one of the
most vibrant and innovative health care networks in VA.

VA has consistently been ranked higher than many private health care
systems in quality of care measures and is a leader in customer
satisfaction surveys. In our network, we have not only exceeded
(inpatient and outpatient) satisfaction thresholds, but our employee
satisfaction scores are among the highest in the country. This means we
have a dedicated and satisfied workforce, committed to ensuring that the
care veterans receive is of the highest quality.

As we move forward, access to care for all veterans will continue to be
a primary focus, with special emphasis placed on ready availability of
services for our newest generation of veterans and those living in rural
areas. We're also greatly expanding access to mental health services at
all sites, supporting a comprehensive array of specialized care,
including: PTSD, substance abuse, homelessness, suicide prevention,
serious mental illness, and traumatic brain injuries, as well as
ensuring 24/7 mental health coverage in emergency departments.

Finally, we will continue to ensure a safe and energy efficient
environment of care by maximizing the effectiveness of our capital and
technological infrastructure.

This is an exciting and challenging time for VA, and the VA Sierra
Pacific Network is poised to continue to make outstanding clinical and
scientific contributions in a compassionate and deliberate manner.

Sheila M. CullenDirector,\
VA Sierra Pacific Network (VISN 21)

**My Health*[e]{.underline}*Vet Receives Awards**

My Health***[e]{.underline}***Vet -- the web-based portal that enables
veterans to create and maintain a personal health record -- has received
two major awards from organizations that focus on effective use of
Internet Technology.

The VHA's Office of Information has been selected to receive one of the
prestigious 2008 "CIO 100 Awards" in recognition of its innovative use
of information technology at its My Health***[e]{.underline}***Vet web
site (www.myhealth.va.gov). The CIO 100 award program recognizes
organizations around the world that exemplify the highest level of
operational and strategic excellence in Information Technology.

VA developed My Health***[e]{.underline}***Vet to be a one-stop location
for veterans of all eras to receive critical medical and benefits
information and to provide ways for veterans to input and view some of
their own medical records online.

Earlier this year, My Health***[e]{.underline}***Vet was selected as the
Gold Award winner for Best Practices in Consumer Empowerment and
Protection Awards in the Category of Patient /Consumer Safety by the
Utilization Review Accreditation Committee (URAC). URAC is an
independent nonprofit group known as a leader in promoting health care
quality through its accreditation and education programs.

"These awards demonstrate how VA and its leaders continue to provide
innovative Information Technology solutions to enhance veteran and
employee health, and improve the quality of care VA's health care system
provides," said Dr. Michael J. Kussman, VA's Under Secretary for Health.
"I encourage America's veterans and others to log on to My
Health***[e]{.underline}***Vet and forge a new partnership with us to
make their health care decisions."

Recent system upgrades include an Active Duty Center for newly
discharged veterans, a new calendar option, and Military Health System
(MHS) learning modules featuring online courses developed with the
Department of Defense. Another upgrade coming soon will allow veterans
to view their appointments and certain lab results.

**VA National News**

**VA Announces Online Claims Applications**

The VA has announced that online applications are now accepted from
veterans, survivors and other claimants filing initial applications for
disability compensation, pension, education, and vocational
rehabilitation and employment benefits, without requiring a signed paper
copy of the application.

Effective immediately, VA will process applications received through
VONAPP, its online application website (www.va.gov/onlineapps.htm),
without the claimant's signature. The electronic application will be
sufficient authentication of the application. Normal development
procedures and rules of evidence will still apply to all VONAPP
applications.

Veterans, survivors and other claimants seeking compensation, pension,
education, or vocational rehabilitation benefits can apply
electronically without the constraints of location, postage cost, and
time delays in mail delivery. The online application also provides a
link to apply for VA health care benefits and much more.

**Summit Brings Renewed VA Drive for women Veterans**

An aggressive push to ensure women veterans receive the highest quality
of care in VA medical facilities was pledged by Secretary of Veterans
Affairs Dr. James B. Peake at a recent VA National Summit on Women
Veterans' Issues. "We're expanding our women-centric focus," he said,
"to initiate new programs that meet the needs of women veterans."

These programs will focus on women's needs in prosthetics and
rehabilitation, hiring women's advocates in VA medical centers,
developing quality measurements specifically for women patients,
purchasing more state-of-the-art, specialized women's health care
equipment, and expanding medical education in women's health for VAcare
providers.

VA recently established a work group whose goal is to ensure every
female veteran enrolled in VA care has a women's health primary care
provider, especially to meet gender-specific needs.

**VA, Monster Partner for Veteran Job Seekers**

To help veterans find jobs, the VA has partnered with Monster Government
Solutions, a division of Monster Worldwide, Inc., which markets online
employment services to employers and job seekers. Monster, in
partnership with VA's Center for Veterans Enterprise, provides
veteran-owned small businesses the opportunity to post job openings for
veterans, including service-disabled veterans, at a large price
discount.

To participate in Monster job listings, veteran business owners must be
listed in VA's online Vendor Information Pages (VIP) maintained by the
Department's Center for Veterans Enterprise at http://www.VetBiz.gov.

**VA's National PTSD Center Deputy Honored**

Dr. Paula Schnurr, deputy executive director for VA's National Center
for Post Traumatic Stress Disorder (PTSD), has received the third annual
Ladies Home Journal "Health Breakthrough Award" for her work with PTSD
and women veterans.

The study led by Schnurr for the VA was the largest clinical trial of
individual psychotherapy for PTSD ever conducted. The findings led to VA
supporting a national training program in "prolonged-exposure therapy,"
which had not previously been widely used.

Schnurr has been serving veterans at VA for 19 years and is responsible
for program development, consultation on research projects, and
strategic direction of the activities at the seven sites that make up
the National Center for PTSD.

**New Sports Clinic for Newly Injured Veterans**

One hundred recently injured veterans from around the country will
participate in a unique rehabilitative sports experience this fall in
San Diego. The VA-sponsored National Veterans Summer Sports Clinic will
take place September 28 through October 3 at several venues in the San
Diego area. Events include sailing, cycling, surfing, kayaking and track
and field events.

The event is open to recently injured veterans who have spinal cord
injuries, traumatic brain injuries, certain neurological conditions,
amputations, other mobility impairments, and/or post-traumatic stress
disorder. For many injured veterans, this event will provide their first
exposure to recreational sports and other activities after being
injured.

For more information, visit the clinic website at
www.summersportsclinic.va.gov.

**VA Facility Highlights**

**Central California\
Vietnam Veterans Honored\
**

On June 14, 2008, VA Central California Healthcare System unveiled a new
Vietnam War Monument located prominently at the front entrance to the
Medical Center in Fresno. The dedication ceremony attracted nearly eight
hundred in attendance to observe bagpipers, singers, the release of 100
white doves, a rifle salute and several dignitaries, including U.S.
Congressman Jim Costa and Lt. Colonel Tom Richards, National Commander,
Legion of Valor and Navy Cross recipient, representing the Governor's
office.

The Vietnam Veterans of America Fresno Chapter \# 933 donated the black
granite monument to the VA. The front features a laser etched colorized
map of Vietnam, its adjacent countries and the South China Sea. On the
reverse side of the seven-foot monument is the famous Vietnam Wall
'Reflections' poster, which has been reproduced with exquisite detail.

Rick Hanniford, Vice President of the Fresno VVA Chapter, stated, "We
wanted to have something for local veterans; this is for our generation,
to show where we served." Immediately following the ceremony, veterans
began making their way up to the monument to reflect on time served and
share combat experiences with family and friends.

**Northern California\
Meeting the Needs of OEF/OIF Returnees**

The VA Northern California Health Care System has a team standing ready
to welcome all Operation Enduring Freedom (OEF) and Operation Iraqi
Freedom (OIF) returnees and to facilitate their families' transition to
the VA while helping to coordinate their care. Our team consists of
Darcie Henning, Program Manager; Jo Ann Pinotti, Case Manager; and Ryan
Feil, Transition Patient Advocate.

Our patient advocate serves as a focal point of contact for
transitioning OEF/OIF veterans and their families. Ryan's position is
dedicated to serving severely injured returnees, giving veterans a
personal advocate as they move through the Department of Veterans
Affairs (VA) system. Ryan also has a hands-on approach for every OEF/OIF
veteran referred to him.

He connects with these veterans and their family members wherever they
need him, whether it's when they come into the Medical Center or if they
need him to meet with them in their homes. He goes above and beyond to
make sure our veterans feel connected to our programs, and have a face
to reach out to with questions and concerns.

Each member of the OEF/OIF team stands ready to provide health care, and
meet the unique needs of our newest veterans returning from combat
deployments.

**Palo Alto\
New Patient Check-In Kiosks**

VAPAHCS is pleased to announce new Self-Service Patient Check-in Kiosks.
Seven kiosks are currently operating at the Palo Alto hospital, and
there are plans to place them at the Livermore Division and the San Jose
Clinic in the future.

The kiosks allow veterans to speed up their clinic check-in process and
make sure their personal information is correct. After the veteran
swipes the Veterans Identification Card through a card reader and
answers a few questions, the kiosk will send an electronic notification
to the clinics and print a receipt, which instructs the veteran to
proceed to his or her clinic appointment and provides date, time, and
location of the appointment. Once the veteran arrives at the clinic, he
or she simply hands the receipt to the clinic staff and has a seat in
the waiting room. Should the veteran feel changes are required to
pre-registration information, the system will instruct the veteran where
to go for assistance.

Use of the kiosks is voluntary. Current clinic check-in processes remain
unchanged and will continue to offer personal check-in and
pre-registration service.

**San Francisco\
Taking Steps to Improve the Environment**

The San Francisco VA Medical Center (SFVAMC) has taken a major step in
its efforts to reduce petroleum consumption by installing an ethanol
(E-85) fueling station, and is one of only six VA Medical Centers in the
country to construct this kind of fueling station on campus. The project
construction started in September 2007 and was completed in July 2008.
It consists of a 2,000-gallon capacity storage tank.

Ed Safdie, Acting Medical Director, SFVAMC, addressed the significance
of this fueling station during the ribbon-cutting ceremony held on July
21, 2008. "We're proud to be a leader in the reduction of petroleum
consumption. The installation of fueling stations such as this serves as
a great example to the rest of VA and will have a huge impact on the
reduction of greenhouse emissions. We're very proud of our
accomplishment."

The San Francisco VAMC's vehicle fleet consists of 46 vehicles, of which
26 are flexible fuel vehicles, averaging 350,000 miles per year. Use of
the E-85 fuel will reduce the greenhouse gas emissions by as much as 20
percent relative to gasoline. The Medical Center will not only serve as
an ethanol resource for VISN 21, but will also pursue partnerships with
other federal agencies.

**Pacific Islands\
PIHCS Offers New Family Oriented Mental Health Programs**

In collaboration with the National Alliance on Mental Illness (NAMI),
family members and friends of veterans will have the opportunity to
utilize two important family based resources. This is a great
opportunity for family members to learn from other family members who
have learned how to cope, and gained a greater understanding of mental
illness.

**Family-to-Family Education Program** is a 12-week program providing
current information about illnesses of the brain and their treatment,
and includes, among others, a section on Post Traumatic Stress Disorder
(PTSD) and addictive disorders. There are also sections on coping skills
for the caregiver, and the power of advocacy.

**Family Support Group** meets regularly to discuss timely issues
regarding mental health treatment and services, housing, employment and
transition to civilian coverage. The support groups offer a venue to
share common experiences within the system, within our families and to
bolster one's capacity to keep hope alive for ourselves and our loved
ones.

For more information, please contact the Spark M. Matsunaga VA Medical
Center, Andrew Dahlburg, Local Recovery Coordinator, at (808) 433-0332.

**Sierra Nevada\
One of a Kind!**

Early one morning, retired officer Dick Rhyno was leaving the VA Sierra
Nevada Health Care System when he spotted a car with steamed up windows
and asked the woman occupant if she had spent the night in her vehicle.
It turned out she and her children had slept in the car while their
husband/father was in the ICU unit at the Medical Center. They had no
ability to stay anywhere else. That's when Rhyno and co-founder Chuck
Fulkerson decided to launch what became the Veterans Guest House. Opened
in 1994, the small bungalow housed four or five people. Its mission then
and now is to provide temporary lodging for veterans and family members
while the veteran is receiving medical treatment is the Reno/Sparks
area. In 2004, a new 4,700-square-foot home was built, with 12 beds, a
full kitchen and a TV room. Guests must be independent and self-reliant
or have a caretaker with them.

During 2007, nearly 3,000 guest nights of lodging were provided. The
number of guests continues to grow and, unfortunately, some are turned
away on the busy nights. Family members come from all over the world to
be with their loved ones.

For more information, visit www.veteransguesthouse.org, email
info@veteransguesthouse.org, or call 775-324-6958.

**A Laughing Matter: A Moving Speech\
**

Eleven people, 10 men and a woman, were lifted to apparent safety from
the roof of a burning building by grabbing a rope dropped by a rescue
helicopter. However, as the chopper labored to gain altitude, it quickly
became clear that the rope they were holding wasn't quite strong enough
to carry 11 people, and they realized one had to let go, or they'd all
perish.

They were unable to decide on who'd make the ultimate sacrifice by
letting go, and there were no volunteers. Finally, with everyone
clinging tightly to the rope, the woman gave a very touching speech.
"I'll let go," she said, "because, as a woman, I'm used to giving up
everything for my husband and kids, or for men in general, and for
always making sacrifices with little in return."

As soon as she finished, all the men began clapping their hands.\
\
**California Survey on Women Veterans\
**

The California Commission on the Status of Women has asked the
California Research Bureau to prepare a report for state policymakers to
assist them in identifying and meeting the needs of California's women
veterans, given their increasing numbers and unique issues. The report,
"Meeting the Needs of California's Women Veterans," will describe
specific issues, service needs and existing gaps. This report is
expected to be published in late summer 2008.

**Sacramento Valley National Cemetery to Expand\
**

The VA has awarded more than \$18 million to two Sacramento, Calif.,
companies to develop the next phase of the Sacramento Valley National
Cemetery in Dixon, which opened in October 2006. VA anticipates the
project will be completed in the fall of 2011 and provide 10 years of
burial services.

The expansion encompasses 60 acres and will include installation of
6,900 pre-placed crypts, approximately 4,900 conventional gravesites, as
well as 8,000 columbaria niches and 5,200 in-ground cremain sites, both
for cremation remains. Buildings will include two committal service
shelters, a public information center, an administration building and a
maintenance complex.

Veterans with a discharge other than dishonorable, their spouses and
eligible dependent children can be buried in a national cemetery. Other
burial benefits available for eligible veterans, regardless of where
they are buried, include a burial flag, a Presidential Memorial
Certificate and a government headstone or marker.

Information on VA burial benefits can be obtained from national cemetery
offices, from the Internet at http://www.cem.va.gov, or by calling VA
regional offices toll-free at 1-800-827-1000. To make burial
arrangements, call (800) 535-1117.

For information on the Sacramento Valley VA National Cemetery, contact
the cemetery staff at (707) 693-2460.

**\
Where to find us!\
**

**VA MEDICAL CENTER SAN FRANCISCO\
**

**VA MEDICAL CENTER SAN FRANCISCO**

4150 Clement Street

San Francisco, CA 94121-1598

\(415\) 221-4810

**Down Town S.F. VA OPC**

401 3rd Street

San Francisco, Calif., 94107

\(415\) 551-7300

**VA EUREKA OPC**

714 F Street

Eureka, CA 95501

\(707\) 442-5335

**\
VA SAN BRUNO OPC**

1001 Sneath Lane

San Bruno, Calif., 94066

\(650\) 615-6000

**\
VA SANTA ROSA OPC**

3315 Chanate Road

Santa Rosa, CA 95404

\(707\) 570-3855

**\
VA UKIAH OPC**

630 Kings Court

Ukiah, CA 95482

\(707\) 468-7700

**VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM\
**

**VA SACRAMENTO MEDICAL CENTER**

10535 Hospital Way

Mather, CA 95655

\(916\) 843-7000

**VA MARTINEZ OPC**

150 Muir Road

Martinez, CA 94553

\(925\) 372-2000

**VA REDDING OPC**

351 Hartnell Avenue

Redding, CA 96002

\(530\) 226-7555

**VA CHICO OPC**

280 Cohasset Road

Chico, CA 95926

\(530\) 879-5000

**VA MCCLELLAN OPC**

5342 Dudley Boulevard

McClellan Park, CA 95652-1074

\(916\) 561-7400

**VA MARE ISLAND OPC**

201 Walnut Avenue

Mare Island, CA 94592

\(707\) 562-8200

**OAKLAND MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAM**

Oakland Army Base

2505 West 14th Street

Oakland, CA 94607

\(510\) 587-3400

**\
VA OAKLAND OPC**

2221 Martin Luther King Jr. Way

Oakland, CA 94612

\(510\) 267-7800

**\
VA FAIRFIELD OPC**

103 Bodin Circle, Bldg. 778

Travis AFB, CA 94535

\(707\) 437-1800

**VA PALO ALTO HEALTH CARE SYSTEM**

**VA PALO ALTO DIVISION**

3801 Miranda Avenue

Palo Alto, CA 94304-1290

\(650\) 493-5000

**\
VA MENLO PARK DIVISION**

795 Willow Road

Menlo Park, CA 94025

\(650\) 493-5000

**\
VA LIVERMORE DIVISION**

4951 Arroyo Road

Livermore, CA 94550

\(925\) 373-4700

**\
VA CAPITOLA OPC**

1350 N. 41st Street, Suite 102

Capitola, CA 95010

\(831\) 464-5519

**\
VA STOCKTON OPC**

500 W. Hospital Road

Stockton, CA 95231

\(209\) 946-3400

**\
VA MODESTO OPC**

1524 McHenry Blvd., Suite 315

Modesto, CA 95350

\(209\) 557-6200

**\
VA MONTEREY OPC**

3401 Engineer Lane

Seaside, CA 93955

\(831\) 883-3800

**\
VA SAN JOSE OPC**

80 Great Oaks Boulevard

San Jose, CA 95119

\(408\) 363-3011

**VA SONORA OPC**

19747 Greenley Road

Sonora, CA 95370

\(209\) 588-2600

**VA CENTRAL CALIFORNIA HEALTH CARE SYSTEM**

**VA CENTRAL CALIFORNIA HEALTH** **CARE SYSTEM**

2615 E. Clinton Avenue

Fresno, CA 93703-2286

\(559\) 225-6100

**VA SOUTH VALLEY OPC**

1050 North Cherry Street

Tulare, CA 93274

\(559\) 684-8703

**VA CASTLE OPC**

3605 Hospital Road, Suite D

Atwater, CA 95301-5140

\(209\) 381-0105

**VA SIERRA NEVADA HEALTH CARE SYSTEM**

**IOANNIS A. LOUGARIS VA MEDICAL CENTER**

1000 Locust Street

Reno, NV 89502-2597

\(775\) 786-7200

**VA LA HONTAN VALLEY OPC**

345 West A Street

Fallon, NV 89406

\(775\) 428-6161

**VA SIERRA FOOTHILLS OPC**

11985 Heritage Oak Place

Suite #1

Auburn, California 95603

\(530\) 889-0872

**VA CARSON VALLEY OPC**

925 Ironwood Drive, Suite 2102

Minden, NV 89423

\(775\) 786-7200 Ext. 4000

**VA PACIFIC ISLANDS HEALTH CARE SYSTEM**

**SPARK M. MATSUNAGA VA MEDICAL CENTER**

459 Patterson Road

Honolulu, HI 96819

\(808\) 433-0600

**VA PTSD RESIDENTIALREHABILITATION PROGRAM**

459 Patterson Road

Honolulu, HI 96819

\(808\) 433-0004

**VA MAUI OPC**

203 Ho'ohana Street, Suite 303

Kahului, HI 96732

\(808\) 871-2454

**VA HILO OPC**

1285 Waianuenue Ave., Suite 211

Hilo, HI 96720

\(808\) 935-3781

**VA KONA CBOC**

75-377 Hualalai Road

Kailua-Kona, HI 96740

\(808\) 329-0774

**VA KAUAI OPC**

3-3367 Kuhio Hwy, Suite 200

Lihue, HI 96766

\(808\) 246-0497

**VA GUAM CLINIC**

US Naval Hospital

Wing E-200, Box 7608

Agana Heights, GU 96919

\(671\) 472-7250

**VA AMERICAN SAMOA CBOC**

Fiatele Teo Army Reserve Building

Pago Pago, American Samoa 96799

\(684\) 699-3730

**VA REGIONAL OFFICE& OUTPATIENT CENTER MANILA**

United States Department of Veterans Affairs

PSC 501

FPO, AP 96515-1100

\(011\) 632-523-6300

**Kerri Childress, Editor**

**VISN 21**

**3801 Miranda Avenue**

**Palo Alto, CA 94304-1290**

**www.visn21.med.va.gov**