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VA Nebraska-Western Iowa Health Care System welcomes you and looks forward to providing rewarding experiences that will build strong clinical skills. You are on your way to becoming a part of the VA’s proud tradition of providing the highest quality of care to our Nation’s Heroes!

To participate as Resident/Fellow/Sub-Intern at the VA, you will need to complete the following Onboarding requirements. Your onboarding will be completed using the new VA Onboarding Account Provisioning/Deprovisioning (APD) System. You will receive an email notification from with an invitation to enter this system and to start the process. 

Please complete onboarding paperwork and required TMS course “VHA Mandatory Training for Trainees” by April 8, 2024. Instructions are contained within the APD System.

Step 1: Access Provisioning / Deprovisioning (APD) System

All trainees established by a VA Coordinator will be entered into the APD System. Once your email and name are entered the trainee will receive an invitation email from to complete onboarding processes.

Step 2: CPRS (Computerized Patient Record System) Training

Step 3: First Day of Rotation

Step 4: Out-processing