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Foreign Medical Program (FMP) claim form

Form name:Foreign Medical Program (FMP) Claim Cover Sheet (VA Form 10-7959f-2)
Form revision date: August 2025
Related to: Health care

When to use this form

If you get medical care outside the U.S. for a service-connected condition, use VA Form 10-7959f-2 to file a claim for reimbursement with the Foreign Medical Program (FMP).

Downloadable PDF

Online tool

You can file a claim online instead of filling out and sending us the paper form.

Helpful links related to VA Form 10-7959f-2

  • Find out how to file an FMP claim if your provider doesn’t file one for you.

  • Find out how to add or change your direct deposit information in your VA.gov profile for FMP claims, disability compensation, and other benefits.

  • Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits.

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