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Affiliation Agreements

Handbooks | VHA Forms & Publications | VA Forms | VA Publications

Educational Affiliation Agreements

VHA Affiliations Partnership Councils
VHA Handbook 1400.3 Outlines procedural requirements for establishing, administering and maintaining Affiliation Partnership Councils and associated subcommittees or sub-councils (e.g., Medical Education Sub-council).

VHA Directive 2004-066
Defines policy for educational affiliation agreements covering training programs in clinical settings.

Medical Education Agreements

Between the V.A. and a School of Medicine and its Affiliated Participating Institutions.
For programs accredited by the Liaison Committee for Medical Education (LCME) or the Accreditation Council for Graduate Medical Education (ACGME).

VA Form 10-0094A    Revised September, 2014


Between the V.A. and a School of Osteopathic Medicine and its Affiliated Participating Institutions.
For programs accredited by the American Osteopathic Association Bureau of Professional Education or the Executive Committee of Council on Postdoctoral Training (ECCOPT).

VA Form 10-0094B 


Between the V.A. and Institutions Sponsoring Graduate Medical Education.
For ACGME-accredited programs not affiliated with a school of medicine.

VA Form 10-0094C

Dental Education Agreements

Between the V.A. and a School of Dentistry as the Sponsoring Institution.
For programs accredited by the Commission on Dental Accreditation ( CDA ) and the accreditation is in the name of the dental school.

VA Form 10-0094D


Between the V.A. as the Sponsoring Institution, and a School of Dentistry and its Affiliated Institutions.
For programs accredited by the Commission on Dental Accreditation ( CDA ) and the accreditation is in the name of VA.

VA Form 10-0094E


Between the V.A. and Institutions Sponsoring Dental Education
For programs accredited by the Commission on Dental Accreditation ( CDA ) and the accreditation is in the name of the sponsoring institution.

VA Form 10-0094F

Associated Health Education Agreements

Between the V.A. and an Educational Program.
For programs approved by an accrediting body recognized by the U.S. Department of Education or by the Council for Higher Education Accreditation (CHEA).

VA Form 10-0094G


Between the V.A. and a non-VA Healthcare Facility or Agency.
For VA-sponsored programs where trainees receive training in a non-VA health care facility or agency.

VA Form 10-0094H


VA Form 10-0094i - Agreement between VA and Uniformed Services University of the Health Sciences
For Agreements between VA and Uniformed Services University of the Health Sciences


Psychology Internship Education Affiliation Agreements

Psychology Internship Education Affiliation Agreement Instructions

VA Form 10-00094j