VA Medical Center Patient Handbook

Welcome to YOUR VA... 1 Chris MedvedWelcome to YOUR VA! 1

Welcome to YOUR VA... 2ContentWelcome.....................................................2General Information.................................3Community Clinics...................................7Travel..........................................................11Pharmacy Information.............................13Appointment Information.......................17Emergency Care........................................19Patient Services..........................................21Inpatient Care............................................31Veteran Services........................................33Phonebook.................................................37FAQ: Frequently Asked Questions.........40Notes...........................................................41 2

3 Welcome to YOUR VA... Welcome to KCVA The staff at the Kansas City VA Medical Center is very grateful to the men and women who served in our military and fought for the freedoms of this great nation. We are proud to now serve you at YOUR medical center. This booklet has been developed to serve as a guide. Our goal is to provide you specific information about the medical center services that will assist you as our patient. About the Kansas City VA Medical Center Community Outpatient Clinics Opening in 1952, the Kansas City VA Medical In addition to our main facility, we offer services in Center has a rich legacy of providing quality care to five community outpatient clinics. the men and women who have proudly served our nation --- America’s heroes. We consider it an honor and privilege to serve the health care needs of our Veterans.Welcome The Kansas City Veterans Affairs Medical Center (KC Kansas Missouri VAMC) is a 157 bed medical, surgical and psychiatric facility. We are a referral center for Veterans in western and southern Missouri, northern Arkansas and Kansas. We are a principal teaching medical center, providing education and training to healthcare professionals; and we are a major center for medical research in the Midwest. Kansas City VA Medical Center www.facebook.com/VAKansasCity 4801 Linwood Blvd. www.twitter.com/VeteransHealth Kansas City, MO 64128 (816) 861-4700 3 1-800-525-1483 www.kansascity.va.gov

Welcome to YOUR VA... 4 General Information We are very grateful to the men and women who served in our military and fought for the freedoms of this great nation.Parking Lot Shuttle Wayfinding KioskShuttle service is available to transport you to and A wayfinding kiosk is located in the lobby of the Mainfrom the parking lots. Tower to assist you in locating your destination.Monday – Friday; 7:30 a.m. to 5:00 p.m.ATM Machine Hospital Entrance Hours General InformationLocated 1st floor Valor building by elevator Emergency Room doors are open 24 hours a day. Other entrance hours are as follows:Postal drop box Main Tower 4:30am-9:00pm seven days a week Valor Pavilion 4:30am-6:00pm Monday-FridayAvailable off Main Tower lobby Freedom Pavilion 4:30am-6:00pm Monday-Friday KCVA is a smoke free facility. Visiting Hours Smoking is permitted in designated areas. Our policy is to allow visitors 24 hours a day – 7 days a week. Certain restrictions may apply. Please always check with nurses station. 4

5 Welcome to YOUR VA... General Information Healthy After Hours Selections MGueeaslst for Veterans, Menu selections are Families and prepared and portioned Employees so that they are appropriate for regular, low sodium and low cholesterol diets. Other diet presciptions will POautrrisotot rSettosiirmosermqeeloueticormeatteimmendoued,iiitmnfeicmetanhstu.ieoFintrbeooammfssement of the Valor PavilionMaconandndboaoefynfseua–rbvssaFatiriltaivubdatielaridtiyye:b.ta yseodf7p:3ro0d-4u:c0t0s fFoorrpmurecahlasseel.ection during Saturday: 9:00-1:00 Sunday: Closed the weekdays please visitGeneral Information our Patriot Cafe located in the basement Patriot Café Guest Meals Our cafeteria is located in the basement of the Main May be ordered and picked up in the Medical Center Tower. It offers a steam table, grill, and specialty Kitchen. food items. Breakfast 7:00 a.m. – 9:30 a.m. Monday – Friday: 7:00-3:00 Saturday, Sunday and Holidays Weekends: Closed Lunch 11:30 a.m. – 2:30 p.m. Starbucks Coffee Shop Saturday, Sunday and Holidays Our coffee shop is located in the Valor Pavilion and offers specialty coffees, sandwiches, salads, muffins, Dinner 4:30 p.m. – 6:45 p.m. and fresh fruit. Daily Monday – Friday: 7:30-3:00 Cost: Weekends: Closed $3.00- breakfast; $5.00 – lunch; $5.00 - dinner. Vending To place your meal order, call (816) 861-4700 x56797 Vending machines are available in various locations throughout the hospital 5

Welcome to YOUR VA... 6 General InformationChapel Service OfficersOur multi-faith chapel is located in the hallway that The offices for the following organizations are locatedconnects the Main Tower to the Valor Pavilion and is in the hallway between the Main Tower and thealways open for prayer and quiet reflection. Pastoral Valor Pavilion. They have representatives availablecare may also be requested by calling (816) 922-2180. for consultation on Veterans’ benefits and to assist Veterans with claims. Protestant services: Sunday at 8:30am Catholic Mass: Saturday at 3:00pm Disabled American Veterans (DAV) (816) 861-4700 ext. 56021Learning Center Paralyzed Veterans of America (PVA) (816) 861-4700 ext. 52882The Learning Center is a patient health education Veterans of Foreign Wars (VFW)library and is located on the first floor of the Main (816) 861-4700 ext. 52881Tower right off the main lobby. Health information American Legionis available on specific illnesses and issues as well as (816) 861-4700 ext. 52883health promotion and disease prevention information.There are computers with internet access available toVeterans who wish to use MyHealtheVet as well as Patient Advocatesresearch their health questions and concerns. Our goal is that your experience is exceptional General Information at the Kansas City VA Medical Center. A patient Hours: advocate is available to help you and your family withMonday-Friday 9:00am-12:00pm, 12:30pm-3:30pm any concerns or questions you may have about the Medical Center’s services. Closed Holidays Navigator Patient Advocates can assist you with: • Concerns or compliments • Questions not answered elsewhere • Hospital policies and proceduresVeterans as volunteers work with the greeters and You can reach an Advocate at (816) 922-2702 or 52703patient advocates assisting Veterans and their familymembers in navigating the medical center programs Each clinical department also has an advocate to assistand locations. This program is an extension of the with questions or concerns specific to the Service.New Patient Orientation and will serve as an advocate Greetersfor Veterans new to the medical center. The greeters are at the front entrance, standing curbside, with a warm greeting, a smile, and an offer of assistance to our Veterans and family members. They will personally escort individuals to their desired 6 destination.

7 Welcome to YOUR VA... General Information How to obtain copies of Medical Records There are two ways you can receive copies of your Billing Information medical records: My HealtheVet The National Health Resource Center can answer any billing, insurance, or service connected 1. You can view portions of your medical records medication questions. Their phone number is through the Blue Button feature on the (866) 393-4074 and the hours of operation are MyHealtheVet website: www.myhealth.va.gov 7am-7pm. (See enclosed information on how to enroll if Our billing office is located off campus. you don’t have an account.) The phone number is (816) 861-4700 ext. 52763 or 1-800-525-1483 ext. 52763. Release of Information (ROI)General Information 2. Our Release of Information office is located in the Main Tower lobby and are open 7:30am - 3:00pm Monday-Friday. There is a ticket taker machine located near their doors where you will take a number to wait your turn for assistance. They can help you fill out the forms needed to request the following: • Copies of your medical records for your Lost and Found use Our lost and found is located in Voluntary • Copies of your records to be sent to a Services, room M1-271. Staff can be reached by non-VA provider phone at 816-861-4700 x52025 • Request a non-VA provider’s records to be sent to the VA If you have any specific questions, they can be called at (816) 861-4700 or (800) 525-1483 ext. 57567 or 57569. 7

Welcome to YOUR VA... 8Community Clinics Community Clinics Services include Primary Care Provider appointments, lab, Teleretinal imaging, and tele-medicine.Belton ClinicAddress: 17140 Bel Ray Place, Belton, MO 64012Phone: (816) 922-2161 fax (816) 922-4690Hours: Monday - Friday 8:00a.m. - 4:30p.m.Paola ClinicAddress: 501 S. Hospital Dr., Paola, KS 66071Phone: (913) 294-9628 or (816) 922-2500 x52160 fax (816) 922-4695Hours: Monday - Friday 8:00a.m. - 4:30p.m.Cameron ClinicAddress: 1111 Euclid Dr., Cameron, MO 64429Phone: (816) 922-2500 x54251 or (816) 922-2500 x54247 fax (816) 632-1962Hours: Monday - Friday 8:00a.m. - 4:30p.m. 8

Community Clinics9 Welcome to YOUR VA... Community Clinics Nevada Clinic Address: 322 S. Prewitt, Nevada, MO 64772 Phone: (816) 861-4700 ext. 54235 or (417) 448-8905 fax (417) 549-6218 Hours: Monday - Friday 8:00a.m. - 4:30p.m. Warrensburg Clinic Address: 1300 Veterans Rd., Warrensburg, MO 64093 Phone: (816) 922-2500 x54281 or (660) 747-3864 fax (660) 747-8197 Hours: Monday - Friday 8:00a.m. - 4:30p.m. Excelsior Springs Clinic Address: 197 McCleary Rd., Excelsior Springs, MO 64024 Phone: (816) 922-2970 or (816) 861-4700 x52970 fax (816) 637-2480 Hours: Monday - Friday 8:00a.m. - 4:30p.m. 9

Welcome to YOUR VA... 10Community ClinicsOff-Site Outpatient Clinics Honor Annex Projected opening early 2014 Address: 4251 Northern Avenue, Kansas City, MO 64133 Radiation Oncology Therapy Clinic Address: 10500 Mastin, Overland Park, KS 66212 Phone: (816) 922-2880 fax (913) 227-0962 Hours: Monday - Friday 8:00a.m. - 4:30p.m. Mobile Medical Unit (MMU) Sites Carrollton Bolivar Trenton To schedule an appointment, call (816) 861-4700 ext. 59801 *Watch for additional sites to be added 10

11 Welcome to YOUR VA...Kansas Missouri 11

Welcome to YOUR VA... 12Travel Travel Improving access to VA healthcare with the Veterans Transportation Service.Veterans Transportation Service (VTS)Shuttle service is available to assist Veterans in rural communities who need help to get to their VAappointments but are not eligible for special mode transportation or travel pay. Seating is limited and ridesmust be scheduled 3 to 5 days in advance of your appointment. To qualify you only need to have a scheduledappointment, labs or x-rays.To schedule a ride call (816) 922-2449 or 1-800-525-1483, ext. 52449.Beneficiary TravelThe general information is located on the next page. If you have specific questions, you may contact our TravelDepartment at (816) 861-4700 ext. 52433 or (800) 525-1483 ext. 52433. 12

13 Welcome to YOUR VA... Beneficiary Travel Benefits If you meet the criteria below, you may be eligible for mileage reimbursement or special mode transport in association with obtaining VA health care services. Note: For detailed information visit the following links for VA You Qualify If: National Income Thresholds 1. you have a service-connected (SC) rating of 30 percent or more, or http://www.va.gov/healtheligi- 2. you are traveling for treatment of a SC condition, or bility/library/pubs/VAIncome- 3. you receive a VA pension, or 4. your income does not exceed the maximum annual VA pension rate, or Thresholds/ and 5. you are traveling for a scheduled compensation or pension examination Pension income thresholds http://www.vba.va.gov/bln/21/ rates/pen01.htm. You Qualify for Special Mode Transportation (Ambulance, Wheelchair van etc.) if: 1. your medical condition requires an ambulance or a specially equipped van as determined by a VA clinician, and 2. you meet one of the eligibility criteria in 1 through 4 above, and 3. the travel is pre-authorized (authorization is not required for emergencies if a delay would be hazardous to life or health)Travel General Travel ...........................................……………........................................$0.415 (41.5 cents) per mile Scheduled appointments qualify for round-trip mileage. Unscheduled visits may be limited to return mileage only. Deductible .......................................................................................................$3.00 one-way ($6.00 round trip) Deductible requirement is subject to a monthly cap of $18.00. Upon reaching $18.00 in deductibles or 6 one-way (3 round) trips, whichever comes first, travel payments made for the balance of that particular month will be free of deductible charges. A waiver of the deductible will be provided if you are eligible for travel and you: 1. are in receipt of a VA pension or; 2. are a NSC Veteran and your previous year’s income does not exceed, or your projected current calendar year’s income, in the year of application will not exceed the applicable VA pension rate, or 3. are a SC Veteran and your previous year’s income does not exceed, or your projected current calendar year’s income, in the year of application will not exceed the applicable national means test income threshold or, 4. are traveling for a scheduled compensation and pension exam 13

Welcome to YOUR VA... 14 Pharmacy An integral part of your healthcare team that manages your medication.The Kansas City VA pharmacy processes over 60,000prescriptions per month. Many of these prescriptionsare filled by the Consolidated Mail OutpatientPharmacy (CMOP). Prescriptions may be refilled byphone or the Internet.Inpatient Pharmacy Services include: Outpatient Pharmacy Services include: Pharmacy Information• Unit Dose/Ward Stock Replenishment • Full prescriptive functions• Controlled Substance Distribution and • Clinical pharmacy support • Patient medication counseling and education Accountability • Medication profile review• I.V. Admixture Preparations • Interventions• Chemotherapy • Investigational drug protocols• Investigational Drug Protocols • Ward inspections• Drug Information • Coagulation monitoring/education• Clinical Pharmacy Support • Diabetes monitoring/education• Barcode Medication Administration Support • Lipid monitoring/education• Pharmacokinetic Drug Monitoring • Methotrexate monitoring/education• Drug Utilization Evaluations • Drug-drug, drug-food interaction• Ward Inspections • Patient allergy/adverse reaction monitoring;• Discharge Medication Counseling• Medication Profile Review reporting and documentation in record• Drug-Drug, Drug-Food, Drug-Dietary • Refill extension • Polypharmacy reduction Supplements Interaction Monitoring• Patient Allergy/Adverse Reaction Monitoring, 14 Reporting, and Documentation in Record• Crash Cart Distribution and Accountability Hours of Operation Inpatient pharmacy: 24 hours per day, seven days a week Outpatient pharmacy: Monday-Friday 8:00am-5: 30pm

15 Welcome to YOUR VA... Pharmacy Information Refilling or Renewing Prescriptions Important things to keep in mind when refilling How is Audiocare used? a prescription: 1. Call (816) 922-3321 or (800) 525-1483 ext. 53321 1. You must be seen by your VA provider at 2. Enter your Social Security Number then # least once a year in order to receive your 3. Press 2 for Pharmacy Options prescriptions through the VA even if you 4. Press 1 to refill a prescription and follow the routinely see a non-VA provider. prompts 2. You should renew your prescriptions 14 to 28 days before you will need them. If there You may check on the status of your prescriptions are manufacturer backorders, there could by calling Audiocare a few days later. be unexpected delays in your prescriptionsPharmacy Information arriving to you. 3. Most of our prescriptions are filled by our mail order pharmacy. It is called Consolidated Mail Outpatient Pharmacy (CMOP). It is located at its own facility, not here on our campus. Great ways to refill a prescription: 1. You can refill prescriptions online through your MyHealtheVet account at www.myhealth. va.gov. (See enclosed information on 26 to enroll if you don’t have an account.) 2. Audiocare is a phone system that not only can you request refills, but you can also ask your provider to renew a prescription when there are no refills left. What is needed: A touch tone telephone Full Social Security Number Prescription Number (no letters) 15

Welcome to YOUR VA... 16Pharmacy InformationIf you are being seen by a non-VA provider who Be Active in Your Care Pharmacy Informationis writing prescriptions but you want to fillthem through the VA, here are some items to Use These Tips for Medicationkeep in mind: Safety1. Non-VA providers do not have the authority to • Bring your medication list to all prescribe medications here. clinic appointments.2. We can only fill medications that are on the VA • Make sure your doctors know formulary. what you are taking. This includes prescription and over-3. Controlled substances, antibiotics, and anything the-counter medications, dietary urgently needed are not filled through this supplements such as vitamins process because it can delay your treatment. and herbs, and special foods and beverages like those you may4. Your non-VA Provider must provide the following purchase at a health food store. in order to have prescriptions filled by your VA provider: • Ask for information about your medications both when they A prescription with your full name, Social are prescribed and again when Security number, date of birth and non-VA you receive them. If you don’t understand, ask your doctor or provider’s name pharmacist to explain. Any progress notes and lab results stating why the medication is needed Requests must include your full legal A list of any other medications that were name, date of birth, and Social Security tried for the conditionAll the above information will need to be faxed to number.your VA provider Blue Clinic (816) 922-3328 Green Clinic (816) 922-3344 Red Clinic (816) 922-33485. Your VA provider has up to 4 weeks after receiving all of the information to order the medication or inform you otherwise.6. The VA provider and the KCVA pharmacy will not contact your non-VA provider for information. If any additional information is required, you will receive a notice in the mail with a list of what is needed. 16

Notes17 Welcome to YOUR VA... Notes .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... ................................................................................................1...7.................................................................................................

Welcome to YOUR VA... 18 Appointments Our goal is to provide you accessible, coordinated and comprehensive, patient- centered care.Making an appointment Changing Your AppointmentTo schedule an appointment contact your PACT For a listing of your current appointments, please callTeamlet. your PACT Teamlet, or if you would like to change an appointment with a specialty clinic or other specialtyIf you would like to schedule an appointment with a care providers please see the contact list included atspecialty clinic or other specialty care providers please the end of the book.see the contact list included at the end of the book.Remember, if you haven’t been seen in the specialtyclinic, you will need a consult requested by yourprimary care provider.If you have received a reminder letter stating that you If you cannot keep an existing appointment, pleaseneed to make an appointment, please call the phone contact us as soon as you are aware you cannot makenumber on your reminder notice. your appointment.Canceling an appointment Appointments 18

19 Welcome to YOUR VA... AppointmentsAppointments A few tips to help you in getting the most from Make Sure You Understand… your appointment • Check in 30 minutes before your appointment • Sometimes it is hard to remember everything that time. you and your doctors or nurses discuss during your visit. • Have a list of your most important concerns and questions. • A family member can join you in your visit with the provider, if you so desire. • Be prepared to talk about any changes in your health. • Take notes • Repeat the information back in your own words. • Ask about recent test results. • Feel free to ask for simple or more detailed • Bring up any medication concerns or needs. • Tell your provider if you have had any recent explanations. • Make sure you know what to do in an emergency. medical treatment elsewhere. Bring copies of • Write down your doctor or nurse’s telephone those medical records to share with your VA provider. number • Tell your provider if you think you need help • Your family or friend can ask questions too. form other members of the Primary Care Team (social worker, psychologist, nutritionist, Remember! If you don’t understand something, ask pharmacist, nurse, etc.) questions until you do. We are happy to help! 19

Welcome to YOUR VA... 20Emergency Care Emergency Care Emergency Department is available 24 hours a day, 7 days a week for emergency medical needs. Emergency DepartmentMedical personnel are available in our Emergency Department 24 hours a day, 7 days a week for urgent or emergency medical needs.Patients are seen according to the severity of their illness, determined by the Emergency Department staff. Contact the Emergency Department at 816-861-4700 ext. 52103 It may not always be possible to contact us prior to treatment in emergency situations. We must, however, be notified within 72 hours after receiving emergency care for the care to be considered pre-authorized. 20

21 Welcome to YOUR VA...Emergency Care Your Local Fee Program Office: Your Local Fee Program Office: 21

Welcome to YOUR VA... 22 Patient Services Providing you the world-class services you have earned.Blind/Low Vision Rehabilitation Hematology/OncologyThe KCVA is fortunate to have two world class, The KCVA Hematology and Oncology service has Patient Servicesadvanced Blind and Low Vision Rehabilitation recently received a three year accreditation fromprograms. Both programs offer evaluation, the American College of Surgeons and holds antreatment, therapy, and various prosthetic and accreditation from the Commission on Cancer. Thesesensory substitution devices that help the Veteran are high honors that show the quality of services weto adjust to vision loss and easier maintain their provide to our Veterans who have been diagnosed andindependence in the family and community. are being treated for cancer. At the main facility, we offer a clinic that specializes in the administration of chemotherapy medications on an outpatient basis. The majority of patients doVICTORS (Visual Impairment Center To Optimize receive their treatments as outpatients, however whenRemaining Sight) is a 1-3 day program which it is necessary to be an inpatient, we have a unit thatfocuses on the visual rehabilitation of Veterans who has RNs certified in Chemotherapy administrationhave some usable remaining sight. to give the medication as well as watch for any side effects.VISOR (Visual Impairment Services OutpatientRehabilitation) is a two week program for Veteranswith little or no remaining vision.Cardiac Cath Lab In July of 2012, the KCVA opened an off campus Radiation Therapy department that is located inThe cath lab is staffed with dedicated and competent Johnson County, Kansas. It uses a state of the art linearstaff using the most state of the art equipment to accelerator to deliver precise doses of radiation to theperform the following procedures: tumor site.• Cardiac Catheterization• Permanent Pacemaker Implantation• Coronary Angiograms• Temporary Pacemaker Placement• Coronary Stent placement The Kansas City VA offers what most• Internal Cardiac Defibrillator Placement medical centers do, but there are a few• Coronary Angioplasty services that we would like to mention thatAlthough the KCVA does not perform open heart might be of special interest.surgery, these diagnostic procedure can be donehere to make certain whether or not it is necessaryand how urgent it would be to transfer you to afacility that does perform the surgery. 22

23 Welcome to YOUR VA... Patient Services Home Based Primary Care (HBPC) Caregiver Program This program provides in-home care to Veterans The Family Caregiver Program provides additional who are at an increased risk of hospitalization or support to eligible post-9/11 Veterans. The program nursing home placement. The team consists of a is set-up for Veterans who choose to receive their Physician, RNs, Pharmacist, Social Worker, Dietician, care in a home setting from a Family Caregiver. To Occupational Therapist, and Psychologist that makes be eligible a Veteran must have incurred a serious regular home visits to provide medical assessment and injury (including traumatic brain injury or a mental treatment, instruction, education, and counseling. disorder) in the line of duty, on or after September Care is coordinated and if necessary they provide 11, 2001. There are strict criteria to be met prior community referrals as needed. to approval for participation in the program. The KCVA Caregiver Support Coordinator is available Radiology(X-Ray) assist Veterans and their Family Caregivers with the application process. The phone number to reach the • PET scan Coordinator is (816) 922-2035. • CT scan • MRI Non-VA Care (Fee Basis)Patient Services Other Services The Fee Program authorizes payment for eligible Veterans to receive medical services through • Physical Medicine and Rehabilitation (PM&R) community providers. Typically eligible Veterans are • Chiropractic Care approved for services VA is unable to provide. Non- • Chronic Pain Management VA service costs must be pre-authorized by VA before • Spinal cord Injury or disorder you receive treatment. • Traumatic Brain Injury It may not always be possible to contact us prior to • Prosthetics treatment in emergency situations. We must, however, • Optical Shop be notified within 72 hours after receiving emergency • Audiology care for the care to be considered for payment. • Cochlear Implants 23

Welcome to YOUR VA... 24SM SM SM Healthy LivingBe InBveoIlnvveodlvineYdBoeiunInrYBvHooeuelaIrvnleHtvdheoaCilnvlateYhrdeoCuinarrYHeoeuarltHheCaaltrhe Care SMLAahBLTbeAoaaeaiuhlltBtTkbethtoaawyeLHiHvucllotritikateevuthtrahwyLLLLWiaerAAAAAAAAAHLnveclotlyriigagthteaaaaaaaavuthhhhhhhhhoaoehrBBBBBBBBBhyTTTTTTTTTWibbbbbbbbareeeeeeeeeLunaaeyeAyooooooooLaaaaaaaaaaaaaaaaaalygeeeeeeeeerlmgttiiiiuuuuuuuuisllllllllllllllllllaoaohehtfttttttttttttttttttkkkkkkkkk.ttttttttBeuTbaahhhhhhhhhoyettttttttteyswwwwwwwwwyyyyyyyyoraeeeeeeeeelmaLHLHHLHHLHLHLHHLLLtvvvvecccccccccsioooooooouytlrrrrrrrrrliiiiiiiiiiiiiiiiiiaaaaaaaaa.tteeeeeeeeevvvvvvvvvkluuuuuuuuttttttttotehrrrrrrrrrthhhhhhhhWWWWWWWWWiiiiiiiiiaaaaaaaaarrrrrrrrwynnnnnnnnneeeeeeeeeeCLHvclllllllllyyyyyyyyyogggggggggggggggggtttttttttritttttttttilaeooooooooovaaaaaaaaauooateeeeeeeeehhhhhhhhhrhsuuuuuuuuuWiaaaaaaaaaaaaaaaaaaryyyyyyyyyeeeeeyyyyyyyyynesrrrrrrrrrllllllllmmmmmmmmmlyeggtssssssssttttttttttsoaoeh........ooooooooouaayeyrlmst.o©IwB 10w-40©2wwIB 1.P0wp9-46MTOM6miI04nnr2uw7WSAAAEwneta2OOderpCnxglllevos.PVVaLasssrcopae9Adoryoooie6etEEpgkienrna4osnrlreDeooon7i!!aysglttewag2nM2iafff8MsMstrho0ntfffivohcs©©©©©c1eeenairwsrOwwIdbA1tadrBQlerrroenOapeokSueeei1iteaVtrtnsrd0hniasdddpwwuteriluo-sVtmEh2e4geckrseWe0t0i.avgshoi!1ve2svwwnLtELCi,netsi©1hp1rioaawIaestteagBEaiTo!SBshir...Psnvao1tsmntppnxlr.9sto-eOre0r,cwgi6feeeic-ooilnfl4e.4faeborrLncleeCev7f0rueoenBsieen2v-2lwrs-andovgss3as-debaisMvvveicgiidhtrsdanouMd.sAP-dNtcyeegpeiot9epCrd-retat6noorlauotgennioMo4eoSrleenhls7M2gtvntoerpnC2Ce0ttaeovoaatdhc1crstiitovhwld–1nesgihaaeooliWAnEneaniareytdlpeeapnCimnndgxirsySSSSSSSStaaoCnimicMMMMMMMMlnsocayireVg2n..heelycr0vvtasagice.h1elesrtnrins1oaateinonotieimdtnsoc..shrntnggsbfra eaiuinr toocvmrsvgvvaa ,r.gy oE•••G•••B••••MB••L•••S•••Bv iateeeeQPmgLIFdTgAAmLREImATDeIAfWmarfffottaaeiiaaa ereovvsiiounmTyyySPorneoomakkatyckvcnooRW iooonid tomiryrteeh•••••••B•GE•BL•BM•S•••••••r toaathinaiidoa wekeo ’euuunttodd ft omaab itaits obefw veeeeir Ayg s cnwu ithdgeRITAETAWALFmmIAPfLmDIgQmtucna.“aaucn serimffffraoar ehvettnaamoeiabi.aegaas, eihreorvvbssit eeoioiunt mlTe ryyylPScroarnooeemnaaekktaihatyaceektv icpc nooiRiWo mse cooiooonhhihdsne ett,omhnirytree crthlcr c toak ea.th inaoiidrS ooodamwekeoutn ’eficuuuntny o tt goddlt fi tot.o s ayomoaaeaab m1citysf obeafiws v iirt A yg s tdwocnwuec ithhvt tovulvtotcan.n“aulnc ba ese i mnfraartle hoverweoord,nmo aaeb.eges,iihrbust kh 2s eeol diet lHaee rlotcoraseetnat t eta ithfF raeeyt tipc ilicoiamysrpeco orooocheyur hhsneinetio,rhnn 4s crtlcfc koe o.l rns.i2yorrSe ocodmmhoutrnn o fic ny tgon tgltasig topAsdd.osayooaalsne½eksam1cyfais euiteo eitdawasoktechvt ovlvtoarntrn lba tes ••••••BLL••B•••B•M•••••B•B••EB•BBBB•G•••SB•S••••••••BM••ML•B•••L••BL••••••GG•••S••LM••LB•••M•EEBB••S••SL•••BM•B•B•BS••EB••••M•G•••GG•B•B•EBSBBBSM•BE••SE•B•L••GEB•MB•B•GB••BE•G tneirtlaho .arerwceoroderid, ii aese ueiowle ulkh hsg nln n d,e Haeotof l sedt etiiiiiiiii t vhttataaaaatatttaatt ttfsF rceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeywt ttsdostlac iayrp roomRAmTIgTEFmPLFmmTfmAPmRPFAWIWIRIFIggTAIIIWfLIEmIIIADLmTLPWDgeTQAmgIDAALeAfRAAFmAAAAQAefmLWRdgPQTLATgLEfRgTILWEdAAEAgRgmFeIAmDETWAgLLTALAWTeQgfmQTAIemDAddDmIIFgLgPRmDdTDWLQQPAmDIAmdLIFmdmTeQgPdLmPeAmRgFLfgmmTEgEfLfeEdQog oc kmmmmmmmmmeyur ienihoaaaaaaaaarn h serrrrrrrrrshtha,tfffffffffffffffffffffes oooooooooioolrns.iin2yttttttttttttttttttarraaaaaaaaaaaaaaaae ceeeeeeeeeiiiiiiiiiiiiiiiiiimhaaaaaaaaa oaaaaaaaaaaaaaaaaaarnoe ueeeeeeeeee. rrrrrrrrre.ooooooooo Sitgvvvvvvvvvvvvvvvvvvnsssssssssiiiiiiiiinv”a.iiiiiiiiioooooooooaesnuuuuuuuuunnnnnnnnngammmmmmmmmn TTTTTTTTTp yyyyyyyyyyyyyyyyyyyyAsa dePPIPPIISSPSSPSSPPSIISISPIIdyooooooooogrrrrrrrrrnnnnnnnnnooeeooeoeoooooeoooeooeeeooommmmmmmmmlsn aaaaaaaaay½ek kkkkkkkkkkkkkkkksadcaaaaaaaaaptttttttttyyyyyyyyyyccccccccckkkkkkkkkvvvvvvvvvicccccccccesunnnnnnnnnooooooooooooooooooRRRRRRRRRe oeirWWWWWWWWW nannnnnnnnas ktcliiiiiiiiilcoooooooooooooooooooonnnnnnnnntiiiiiiiiildddddddddoy g earntttttttttooooooooormmmmmmmmmiiiiiiiiirrrrrrrrryyyyyyyyy hatttrrtrrttrrrrtrt;eeeeeeeeeeeeeeeettpsschhhhhhhhhrrrrrrrrrt tei tttttttttstoooooooooraaaaaaaaa aaaaaaaaatttttttttrhhhhhhhhhiiiiiiiiiah .a nnnnnnnnnreaaaaaaciiiiiiiiiiiiiiiiildddddddddrdeiooooooooo iaaaaaaaaai wwwwwwwwweeeeeeeeedkkkkkkkkkeeeeeeeeesaooooooooe ur’’’’’’’’’eeeeeeeeeuuuuuuuuuuuuuuuuuuuusnnnnnnnnnstttttttttowlumettttttttt h S•••••LM••B••GE••B•B••••••oooooooohlddddddddddddddddddeurohgni Wfffffffffnnvvvvvvvv,Dtfttttttttt f ooooooooolommmmmmmmm daaaaaaaaaaaaaaaabbbbbbbbb e nvehiiiiiiiiitttttttttssssssssse eooooooooobbbbbbbbbteeeeeeeeeeffffffffflyswwwwwwwww vvvvvvvvvcowtiiiiiiiii ,rrrrrrrrt sdAAAAAAAAAyyyyyyyyygggggggggospt sssssssssa vrccccccccc nnnnnnnnnwwwwwwwwwuuuuuuuuutad iiiiiiiiittttttttthhhhhhhhhhocg k ftttttttttuuuuuuuuuiaenncnanaananancacnaccccaccanta.........“““““““““aaaaaaaaahoooooooouuuuuuuuufcccncnnccnnnnnnca hssssssssseeeeeeeeeseeeeiiiiiiiiieehmmmmmmmmmtohar,fffffffffxgltsrrrrrrrrr aaaaaaaaaes,aaaairrrrrrrrreeeeeeeee hhhhhhhhhearvvvvvvvveeeeeeeeetinFAQIEdLmDgITgWIATmemALPRAfemarnnnnnnnnnnommmmmmmmm oooooooootaaaaaaaaabbbbbbbbbo ......... meeeeeeeeegggggggggsssssssss,,,,,,,,,aeioueiiiiiiiiihhhhhhhhh..r Srrrrrrrrriebbbbbbbbbsssssssssnttttttt vnfff”eeeeeeeeeemeeeeeeeeeoooooooooa.moeniiiiiiiiittttmua nllllllllln eeeeeeeee rrrrrrrrre alllllllll neucccccccccteyltrrrrrmgaaaaaaaaaaaeeeeeeeeeii nnnnnnnnnaaaaaaaaaayanaeeeeeeeeenllllllll tttttttttaaaaaaaaan edcriiiiiiihhhhhhhhheopyvvaaaaaaaaahdseeeeeeeieeeeeeeeettttttttt seiiiiiiiiiipppppppppccccccccci oiiiiiiiii untliiiiiiiiirmooooooooommmmmmmmmTnsssssssssyyyleeeeeeeeecccccccccooooooooocPSlooooodcornoeohhhhhhhhhtmhhhhhhhhhhhhhhhhhhlaoyvvvvvvvv agsssssssss nnnnnnnnneeeeeeeeeaieeeeeeeeekkettttttttt, g,,,,,,,,,annnnotychf;k cccccccccvpsrrrrrrrrrtttttttttciclllllllllcccccccccttnooRcccccccccnstWo kkkkkkkkk e e eeeee e e. ......... fram o i oooinooooooooolrrrrrrrrrSSSSSSSSSi gdiooooooooooooooooodddddddddnmmmmmmmmm da uuuuuuuuuttttttttttomnnnnnnnr ldimfffffffffriiiiiiiiiccccccccc yismrtseennnnnnnnniyyyyyyyyy ooooooooouV mttttttth hggggggggghreulllllllll tttttttttrooila aWiiiiiiiian thtttttttttDtieeeeeeeefooooooooopl n.........ooooooooosssssssssaemiiaaaaaaaaadvyyyyyyyyyioodoooooaaaaaaaaaaaaaaaaaa wekeeeeeeeeeelvonmmmmmmmmmy111111111cccccccc’eyyyyyyyyyuuuetfffffffffnte eaaaaaaayiiiiiiiiitsssssssss yogo ddn iiiiiiiii,ttttttttt fe rp.ttttttttttdddddddddwwwwwwwwwvoooooooooran ta eeeeeeeeecccccccccdhohhhhhhhhhhmcvvvvvvvvvtttttttttr foooooooovvvvvvvvvelllllllllaabvvvvvvvvvttttttt aooooooootttttttttitnnnnnnnnnrs obeefafllllllll gaobbbbbbbbbaaaaaaaaaw eeeeeeeeeve idddddddd eiro rnnnnnnnnnxgAl sy g s, tttttttttlllllllllnceoooooooooanwrum thittrrrrrrrrrwwwwwwwwwheeeeeeeeoooooooteooooooooomrrrrrrrrrddddddddd,,,,,,,,,notnno u taaaaaaaaaeeeeeeeeeo can.smd“eeeeeeeeeiuncoiiiiiiiii seeieuuuuuuuuumhhkhhhkhkkkkhhkhkkf ngsssssssssra emlllllllll m dddddddddraeeeeeeeeeme uashnoHHHHHHHHHaaaaaaaaaeeeeeeeeeevtsnooooooooouAttttttttteooooooooorlmnmossssssssseeeeeeeeeatttttttttbttttttt ttttttttt.e gnns,inih tttttttfffffffffFFFFFFFFFr tarrrrrrrrrbhdksatffyyyyyyyyy Tsettttttttteeo vittllllllllll ccccccccltiiiiiiiiiaaaaaaaaaayyyyyyyyye rrrrrrrrrrlppppppplesc rrrroooooooooidoeoooooooaooooooooocccccccccaeeeeeeeeeeuuuuyyuyuyyyyuuyuyrrrrrrrrru ana iiiiiiiitiiiiiiiiieaiennnnnnnnntaiiiiiii, goooooooooihrrrrrrrrrnnnnnnnnnoi afeessssssssstn ii ptcfffffffffig t inriooooooooooo.mooooooooosfeamlllllllll orrrrrrrrnnnnnnnnncsssssssss......... etoiiiiiiiii222222222yyyyyyyyynhisnnnnnnnnhrrrrrrrrrheeeeeeeeehgiicccccccccsrnnemmmmmmmmmi hhhhhhhhhetooooooooot mrrrrrrr,hnnnnnnnnnooooooo ldnr m iitttttttttggggggggg cnecnnnnnnnVrlccaaaaaaaasssssssssmlo kae gggggggggnn. pppppppppAAAAAAAAAsssssssssdddddddddpl dddddddddoemrvieS aondooooooooodlllllllllssssmnnnnnnnnne½½½½½½½½½loooooooooveeeeeeeeeukkkkkkkkktsssssssssnaaaaaaaaay ficstosny io tyggleeeeeeeeeuuuuuuuuuntteeeeeeeeeoooooooooeeeeeiiiiiiiiii rt.-oaaaaaaaaaaaaaaaaaaisssssssskkkkkkkkktttttttttan.osayhtoraar eeiaaaaaaaaam1brrrrrrrrrcnnnnnnnnn rrrrrrrrryrpmf e aazigottttttt s ttttttttte sssssssssYYYYYYYYii ittttttttteeeeeeeeeiiiiiiiii m rrrrrrrrrsptdwcanoaaaaaaaaahhhhhhhh. .........e tcaaaaaaaaaymrrrrrrrrrteeeeeeeeeahtccccccccchvttrrrrrrrrrdddddddddeeeeeeeeem iiiiiiiiin oiiiiiiiiiiiiionnvlvttosssssssssteesnduuuuuuuuu lbaooooooooo wwwwwwwwwellllllllleeeeeeeeee a lllllllllnhhhhhhhhhgsgggggggggnnnnnnnnnlnnnnnnnnnnnnnr,,,,,,,,,ehtr lashooetsrwAeon.orfffffffff lllllllllrd, ooooooooddddddddd o ae eeeeeeee evvvvvvvvvhhhhhhhhheiitttttttttissssssssstacccccccutk affowwwwwwwwwtttttttkh Tstttttttt lsssssssssddddddddd t dvlooooooooosssssssssotttttttteaaaaaaaa Haaeoest oitooooooooooeaggggggggg kkkkkkkkksaeuset tt eeeeeeeeeihhhhhhhhhe tfdF hhhhhhhhhirsssssssseeeeeeeeeaiysyr hhhhhhhhtttttttttnhhhhhhhhhtaaaaaaaaa ,,,,,,,,,tttttttg eeeeeeeeesssssssirliiiiiiiiiciaytetrpvet roiiiiiiinnnnnnnnnoonchuuuuuuuuaaaaaaaaaserrrrrrrrrouyrd irii ntimonrneeeeeeeeeuuuuuuuuueeeeeeeee.........rt ........ , SSSSSSSSSsiiiiiiiiinecnnnnnnnnnnvvvvvvvvv”””””””””feoaaaaaaaaad....... teeeeeeeeennnnnnnnnmoooaaaaaaa nnnnnnnnnn lrns. iaaaaaaaaa eeeeeeeee2y hn yyyyyyyvegggggggggreeancme haoyyyyyyyyy rrno dddddddddcccccccc sopppppppppstgyyyyyyyyyinefliiiiiiiiisssssssssats grrrrrrrrr-pnnnnnnnnndiAsdcccccccccdlllllllllsrrrrrrrrlllllllllcccccccccuettttttttttoreelslllllllllnoooooooyyyyyyyyy ggggggggg ½o2rekieeeeeeeeesab epmn hhhhhhhhhaaaaaaaaaz;;;;;;;;; pppppppppsssssssssccccccccceiutttttttttdteoemisssssssssttttttttt rspsayrrrrrrrrrcaaskt. ity atlllllllllu ndddddddddaraaaaaaaaa npr rrrrrrrrrd ssssssssssssssssssttuuuuuuummmmmmmmmtsahhhhhhhhh ahhhhhhhhha teeeeeeeeeuuuuuuuuueirrrrrrrrrooooooooosriiiiiiiiilWWWWWWWWWehrti DDDtttttttttafffffffffhhHHHHHHHHw l.ae roecdn.rdeoooooooooi iio sennnnnnnnnueaeeeeeeeeeyeeenieeeeeeeee owleeeeeeeeeilllllllllyyyyyyyyyeo ooooooooolt o h ,,,,,,,,,gnnnte,tluopppl vvvvvvvvvrrrrrrr tttttttttaaaaaaaaaIdddddddddt f hhhhhhhhhltccccccccc t adfffffffffs eeaaa vhiuettdrfffffffffaaaaaaaaasca riywitreeeeeeeeeoooooooootrrrxxxxxxxxxsdggggggggglllllllllsssssss iosmt,,,,,,,,,fa sveeeeeeeeetaaaaaaaaarrrrrrrrrtvnhtttoeeeeeeeeeg a kcoeeeeeeeedonnnnnnnnnoooooooo httttttttteiooooooooo lmmmheniiiiiiiiiooooooo he s,eeeeeeeeehthan,nnnnnnnnnteeeeeeeommmmmmmmmedrsmmmmmmmmmti,mmmmmmmuuuuuuuuu nnnnnnnnnnleeeinnnnnnnnnnuuuuuuuuhne eeeeeeeeelllllllllarmmmmmmmmme ee annnnnnnnn nnndirennnnnnnnnue.. Sinhhhhhhhhhddddddddd efnl vsssssssss”eeeeeeeeea.ecn tttlllllllllana aaaaaaaa dlllllllna eshyddddddddduhgeroeeaaaaaaaaa kmy 2raaaaaaaaaiiiiiiiii ,,,,,,,,, dc gggggggggepooo nyrfffffffiiiiiiiiiistttttttttd nnnnnnnnn rooooooooorf......... tnfffyaaaaaaaaammmmmmmmm eooooooooo clilycniiiiiiiiiulgggggggggoyiiiiiiiiig nnnnnnnnn oeog pellllllllldddddddddsd mmmmmmmmm( eiiiiiiiiihfammmmmmmm;iiiirp VVVtscalllllllltaistlllllllll aaaaaaannnnnnnnntr wlppppppppplllllllll oeeemmmmmmmmmlvvvvvvvvvdiiiiiiiiiooooooooowdddddddddco dolllllllllvvvvvvvvvao yyyyyyyyyr aydntttssttttttttiumh yyyyyyyyyggggggggghleunbnnnnnnnnn roaiyWueeetrrrrrrrrrulDt.........fa aaaaaaaaannnnnnnIthhhhhhhhhorrrtpyeeeeeeeeeonerrrrrrrrruete eeeeeeeeeeraaaly gggggggggooooooooo ueeeeeeeeeo riiiiiiiiiinhhhhhhhh ,m imp fsovnnnlrvo ta dnhmmmmmmmmm ttttttttthhhhhhhhhhcittttttttt ammmmmmmmnnnnnnnnncooooooooo fonnnnnnnnnhtttttttttailwsssdddddddeonfat eeeeeeeeeey.emdocrxglgggggggggs r,rrrrrrrrr,aaaaaaaaasssssssssernoooooooooarttttttttttssssssssssAAAeerrrrrrrrr no tueo mhem diiiiiiiiiiio tttttttttaaaaaaaaaen kkkkkkkkkaaaaaaaaaffffff nTTTTTTTTTe omm uvvvvvvvvv c muntttttttttaaaaaaaaaae,nnueeeeeeeeesssssssssaheiiiiiiiiiloooooooooeeeeeeeeeaaaimh rohuuuuuuuus kCCCCCCCCttttttthman neeeeeeeeen iii hdrrnnnnnnnnnse .mggggggggg tttttttttiiiiiiiiitrrrl fzteeeeeeeeel eeeeeeeeeetttttttttfydnunnnnnnnnnhhhhhhh sssaiiiiiiiiity rrrrrrrrriiiiiiiiiaioottttttttt,gmmmmmmmmm ege sorrrrrrr(ecffornnnnnnnnneeeeeeeeecccccccccicatianommmmmmmmmooooooooo.nnnnnnnnn fam o f rivvvvvvvvveeeeeeeeegaaaaaaaaaawnnnnnnnnniconaaaaaaaa eeeeeeeee o o)ld mrdsssssssssiooooooomsssssssssiiiiiiiiiiVntlanbattttttttt ela yauner---------llaiiiiiiiiipemv.itttttttttodrrrrrrrrr p yolviiiiiiiiiybbbbbbbbb pppppppppmmmmmmmmmti elzzzzzzzzz u yg tiiiiiiiiinnmtttttttttemmmmmmmmmarsssssss. pppppppppmcccccccccaaaaaaaaaol.........rrrrrrrrnano ntttttttttyyyyyyyyyvs aaaaaaaaattttttttthsi rnnnnnnnnnewron ea gt ne aaaaaaaaay.imidc sssssssss llllllllleeeeeeehhhhhhhhhrrrrrrrrrnhhhhhhhhhrg eeeeeeeeemthss,tnnnnnnnnn.........eeeeeeeemnonitooooooooo umh sdeeeeeeeeedo eiiiiiiiii ttttttttt ooooooooo g o.tttttttttur lllllllll toooooooooasooi.t,sAa rtttttttttai haaaaaaaaasssssssss eeeeeeeeehaeiiiiiiiiieeeeeeeeeiddddddddd ltaaaaaaaaaakaiiiiiiiiiyyyyyyysssssssssffrrrrrrrrrrTy.m vetzattttttttttttttttttvvvvvvvvvesfinoeauy ooooooooodddddddddu ty tneennnnnnnnn ttttttttti c,,,,,,,,,,onnnnnnnnnn caeeeeeeeeegooooooo dddddddddatirttttttttt eeftdhhhhhhhhhnnnnnnnnnr n hseeeeeeeeeiari aaaaaaaaatmrrrrrrrrr)rnnnnnnnnnneceeeeeeeeeffffffffflllllllllntdasmeoa erllddddddddd sssssssssuuuuuuuv.eeeeeeeeeaneeeeeeeeeeeeeeeeeee 222222222rrrrrrrrr eeeeeeeeesosinnnnnnnnneil tmtdddddddddarrrrrrrrr-msssssssssyyyyyyyyyiniiiiiiiii nv tuuuuuuuuusrib ppppppppppddddddddd m z n tttttttttaaaaaaaaaiaaaaaaaaaitm sptttttttttciiiiiiiiia .wwwwwwwwwlllllllgtyoooooooooast,dddddddddni daaaaaaaaaoyyyyyyyyy nnnnnnnnniiiiiiiiiaooooooo sl.eeeeeeeeeettttttttthuuuuuuuuurtlllllllllhoie.IIIIIIIIItttttttttn.attttttto eeuuuuuuuuutttirrrrrrrrrlt rrrrrrrroiiiiiiiiiytiiiiiiile ommmmmmmmmfffffffffsssssssssvvvvvvvnnnnnnnnnhhhhhhhhhtn yaaaaaaaaacccccccccaoooooooooseh niiiiiiiiilllllllllieeeeeeeeeedeeeeeeeeeaiys,rrrrrrrrr,,,,,,,,, tnnnnnnnnnllllllllltvdeeeeeee odeeeeeee eeeeeeeee ndddddddddiiiiiiiiit ,nnnnnnnnn n deodstcccccccccaaaaaaaaannnnnnnnnhn hhhhhhhhhhhhhhhhherrrrrrrrroooooooookkkkkkkkkammmmmmmmm n rrrrrrrrrefl ffffffftttttttttd eeeeeeeeesyyyyyyyyynnnnnnnnnu ee2rooooooooooooooooooggggggggg eeeeeeeeeesssssssss(((((((((neeeeeeeefffffffffrrrrrrrdiiiiiiiiirsyiuwwwwwwwwwcccccccccooooooooo oooooooo pd ddddddddd taalllllllllnnnnnnnnnbbbbbbbbbaaaaaaaa yyyyyyyyyuuuuuuuuuti waaaaaaaaalodpppppppppyyyyyyyyyoooooooooayniuuuuuuuuuonnnnnnnnn mmmmmmmetul ooooooooolllllllloooooooooIt iiiiiiiii twwwwwwwwwuoooooooootnnnnnnnnnrtttttttt ryyyyyyyyy.........immmmmmmmmdddddddddcccccccccimfsvrrrrrrrrrnhsssssssssa cohuuuuuuuuuimmmmmmmmmhhhhhhhhlee oooooooooruuuuuuuuu ,nl,,,,,,,,,eaaaaaaaaaiiiiiiiii hhhhhhhhhssssssssseehhhhhhhaaaaaaaaa di n rrrrrrrrr.........mmmmmmmmmcazzzzzzzzznhfffffffffuuuuuuuuuhro tttttttttyyyyyyyyykm eeeeeeeee cccccccccrooooooooocccccccccaaaaaaaaaaa ft efffffffffyrrrrrrrrrnaaaaaaaaaoog)))))))))es(rrrrrrrrrefrnnnnnnnnntttttttttaaaaaaaaaieeeeeeeeeaeeeeeeeeerrrrrrrllllllllllllllllll.........wco oo diiiiiiiiieeeeeeeeelllllllll ltttttttttnbmmmmmmma yuaaaaaaaaammmmmmmmmannnnnnnnn nnnnnnnnnvvvvvvvvvssssssssssssssssspyounnnnnnnnnniiiiiiiiim ologgggggggg sssssssss,,,,,,,,,i iiiiiiiii wdddddddddoooooooooonty. mdc.......tttttttttroooooooooiiiiiiiii.........s aaaaaaaaau hmeeeeeeeeelllllllll yyyyyyyyy ou eeeeeeeee ,annnnnnnnniyyyyyyyyy hs hannnnnnnnn ,,,,,,,,,r.m zfdddddddddu ty e cocadddddddddasssssssssfra) rntaeaerll . iel tmamn nvssni gs,i do .toi.a elye ny n, d ds Patient Services

25 Welcome to YOUR VA... Dental Benefits IB 10-442 April 2013 Dental Benefits for Veterans IB 10-442 April 2013 Dental Benefits for VeteransDental benefits are provided by the Department of Veterans Affairs (VA) according to law. In some instances, VA is authorized to provide extensive dental care, while in other cases treatment may be limited. This Fact Sheet describes dental eligibility criteria and contains information to assist Veterans Dineunntadlebrsetnaenfditisnagrethperior veildigeidbiblityytfhoer DVAepdaerntmtael cnatroef. Veterans Affairs (VA) according to law. In some Oliniumsttiatpendca.eTtsh,iViesAFniastcatDuSthheeoenrtiztdeaedsltcorPibpreroosvdgiderneateaxml teelnigsiibvielitdyecnrtiatel rciaaraen, wd hcoilentianinosthinefrocramseastitorneattomaesnsitstmVaeytebreans in understanding their eligibility for VA dental care. The eligibility for outpatient dental care is not the same as for most other VA medical benefits and is OcfouartteagpnoyarnizteeicdeesinnsattoryDcdlaeesnsnetastl. aIcfalyroePutroaormegaeilrnigataibminleofrorreVsAtodreenotraall care under Class I, IIC, or IV you are eligible health and masticatory function, including rTehpeeealtigciabrieli.tOy tfohrerocultapsasetisenhtavdeentitmalecaanredi/sonr osetrtvhiecesalimmeitaatsiofonrsm. ost other VA medical benefits and is categorized into classes. If you are eligible for VA dental care under Class I, IIC, or IV you are eligible for any necessarIyf ydoeunt:al care to maintain or restoreYooraulahreeaeltlhigaibndlemfoars:ticatory functionT, ihnrcoluudgihng repHeaavtecarsee.rOvitchee-rcoclnansseecstehdave time and/Aonrysenreveicdeedlimdietnataiolncas.re Class I compensable dental disability or condition. If you:Patient Services HAraevea afosremrveircper-cisoonnneercotfewdar. You are eligible for: Through cHoamvepseenrsvaicbele-cdoennnteacl tdeidsability or AAnnyy nneeeeddeedd ddeennttaall ccaarree. CClalassssIIIC cdoisnadbiitliiotines. rated 100% disabling, Any needed dental care. [Please Class IV Aaotrretahraeefuo10nrm0e%merprpalortieysaodbnuleeertaoonfdswepravar.iicde- note: Veterans paid at the 100% rate Class IIC Hdcoiasnvanebeislciettrieevdsicrceao-tcneoddni1tni0oe0nc%tse. ddisabling, Aebxantsyeennddeoeenddeahdtoedsmpeinptatoalrilzacaraytirorean. tifnogr ,assuecrhviacse- Class IV or are unemployable and paid Anocoronnptyenrn:eeVe-cseetttedaedebrdaidlniidzssaeaptnbiaotilianidtlyaca,ratcertoehnn.eo[vPt1alele0ela0isgs%ceiebrnlaecteefor at the 100% rate due to service- bcoamsepdreohneantseivmepoourtapraytriaetnint gd,esnutcahl saesrvices Class II cAopnpnlyecfoterddecnotnadlictaiornesw. ithin ccobecOtabhooelxraanlartnmsspaeteteenipr-npfaddeteipdcri-ccmeoorsaeotothnntedeamepedbttdhrnohhpiidoealsfiilisseiitnzsdvseapttttaeieeeastidbticmmloodaeihclunlenippaiattzntyoorarpaae,gtrrratalceaaeiittloofrrirnedeyyynneoxnooavrrfataatuetaommttesdlrriielnnDenaiiesngggnconDsaie]]tbtet..2tanriilh1lnoevcas4ndiefecdoieracrbv-anietdceeens 180 days of discharge or release Orenned-etirmedepdreionrtatol cdairsechifayroguer.*DD214 Class II (under conditions other than certificate oYfoduisacrheaergliegidboleesfonro:t indicate Through dishonorable) from a period of DaAatreaDAhnlnelnnadneayndtdnyptmdaeatmpderalcaerenlTaooidnnrTtimpanattrpuraaltapiraclimauinliaocetnmeararateerataRdfeonudaefRneuntdeniacecnnnittseacttcgicisealnothsti(lgnaoraVseearinrA(xnyagrViagtyFnetAmmoo.gdt*orieFpendmnonrpaeotrtrntimvihotoiiivadont1idiendoa0.benn-eA.deAn CClalassssIIIAIA A1dac8upt0rpiivndleygafdyotushrtoedyfePodnefiIrtsf9saci0ylhaocndaauraGrg:eyueswloofiWrrthrmaeinrloeeraersae. 1506-546-D4-)Do)roVr VAARReeggioionnaallOOffficeeRating Htnfcda(dHfncturrrroocoiuooaaoasantnnnrnuvmuhmvidivddecnmceomeeoiiocgnatctaraaomimdiooocst.o.smuhmeronppenaternrbeeybbovovdnnPaiarloriceteissctdtfe)aadrweiw9io-sbfb-sicrio0sncoalalooeaeuobsundmbnnnddinoailnGidenleydtatieunhysntsescpyltectoofrtoaeatreerWrrelrlrestdsmdihussaoeuearldortrlnveirtvnoieircinagfce.ge DDeeccisiisoionnleltetteter r(V(AVAFoFrmorm10-1701-371)31) idideenntitfiifeiessththeetotooothth/t/eteeetthhththaattaareretrtarauummaa raratetedd. . Class III Have a dental condition Dtheanttaarlec2da5reetetormtrienaetdthbey oral conditions clinically determined by VA to be a VA dental associated with and aggravating professional to have a direct and material

Dental Benefits for Veterans Welcome to YOUR VA... 26Dental benefits are provided by the Department of Veterans Affairs (VA) according to law. In someinstances, VA is authorized to provide extensive dental care, while in other cases treatment may belimited. This Fact Sheet describes dental eligibility criteria and contains information to assist Veteransin understanding their eligibility for VA dental care.OutpatientIfDyoeun: tal Program Dental BenefitsYou are eligible for: ThroughcrTfoeahprtetnHcfeaerrooogeaanannuvmlotyidegcmrcnoiiciaatzbaeomireos.icemldenpie.trOsbeiyovnsnaitrfatcohtsodreawreyi-cbsrocodlaloacueubelsntanndisplnseidtetaseasysnetcl.itosretIcaeferanhlsydsrtauoeevdlurtteevionaintcgrmitemeaaleeiclniaagtnraiebdinli/e1aDDAsoon0nneefrro-dyncos5rriettemd6saVrist4eolvAaht-nTnoiiDecnrdtraeal)teseeualoalntociimtmrmntaerVaaarreaiAletl(RcafahVnRuaatsAeieentrofaiecgconFnletitourgosihsornm.sn(mnaadVaorniAeln1ysdOrg0tFtCf-omoodf7lirtapec1amhsen3rsesott1RriivIc)t,aViiadIotAItiCennom,.groyAerfdIuVicnaycoltibuoenan,rCeeinlfaeictslslisugaIdiInbAindlegis identifies the tooth/teeth that are traumaIf you: rated. You are eligible for: ThroughHave a sdeernvtiacel c-coonndniteioctned DAneyntnael ecdareedtdoetnretatl cthareeoral conditions CClalassssIIIcolinmicpaellnysdaebtlerdmeinnteadl dbiysaVbAiltitoyboer that are determined by a VA dental Class IICcaossnodciitaiotend. with and aggravating professional to have a direct and material CCllaassssIVVaAHodrAUcaeotrirrSassheentaevCahadrreaabbeeCvicisftiilhtuo1cliieioitaet0vnrrianmevpe-0etcs.ilt%miceyoeoreranrenpr-pta3nncleport1oegdieryscnaovaod1tngogebn0ueecrdle0eaecdar%mmtttaeiioonon.eddfndsadwiesai3pacralv8abar.ililcdineg- , •d••D••cdAcrtaOAoenbbccehoeoolxroeeaannenlnartnnmssttptayynetetdereeeHPAHMrlrpprnniprite-nnnpeeefra:eddmeratrreeicaapmaVhhhadeceerioor-lhcccmsseooveresaekveeaaaeggcoittttoitehdnnnnteteeebbebeedddaearrmepeenaaetvnnddrsiiieebpptarallldhrentmmoedhtiiipddaiioratttttlmdtoealsfiitinaaahhlietetbssnoeiiddtonzsiodhutttsvesseemeffyaptrttiiieetafifeeistdoooeeeypabsettrridnnhbapatiroeeonnncimlogcalodcaettreieoVhttcVutliuaauoanldepppniuudpaAriaeteylltlptaznaairrrtyrroorarptxccsoacaoooalnnetrdr,gtescrraatoiateyutalygggceaoeerehiittrrottntlooroafrrrrreeooinnnirhannfeaaadaeydnyeunne..ttreoaaymmmxtonoo[naiagvriripntPfoantanftuelt1arrtosieellmomeeurttepyegsdlea0r.raeiec*hhnrolnrcra,0Denaiineresovngaa.sveusgr%nconscDisuufbbeoaidrce]stebetet.c2ptaiicearnslliriilhhaiaii1lnnoetrsvnctteaytst4iaandieatoefiecddoottoasineraiicnsroobova-anaanniretldcleeteons:connected conditions. Class IIApply for dental care within discontinued status because of illness,180 days of discharge or release injury or a dental condition, or(under conditions other than • Secure and adjust to employmentdishonorable) from a period of during the period of employmentactive duty of 90 days or more assistance, or enable you to achieveduring the Persian Gulf War era. maximum independence in daily living. Patient Services Are receiving VA care or are Dental care to treat the oral conditions Class VI scheduled for inpatient care that are determined by a VA dental Page 1 of 3 and require dental care for a professional to complicate your medical condition complicating a medical condition currently under treatment.IB 10-44c2ondition currently under treatment.Are an enrolled Veteran who may A one-time course of dental care that is Class IIBbe homeless and receiving care determined medically necessary to relieveunder VHA Directive 2007-039. pain, assist you to gain employment, or treat moderate, severe, or complicated and severe gingival and periodontal conditions.* Note: Public Law 83 enacted June 16, 1955, amended Veterans’ eligibility for outpatient dental services. As a result, any Veteran who received a dental award letter fromVBA dated befor*eN19o5t5ei:nPwuhbiclhicVLBaAwde8te3rmeinnaedcttheeddJeuntnaleco1n6d,it1io9n5s5to, abemneonncdomedpeVnesatbelreaanresn’ oelloignigberileiltiygifbolerfooruCtlpasastIiIeonuttpdateiennttadlesnetarlvtriceaetsm.ent.VeteransAdresetaceerrimIevnsiiunpnlgeat,dthaiotenhsnypetiVtdDaeelt,enenntruaatrlanscliwonPnghrdoohiogtriemrocaneem,sivoteorddbaoemdneiocnniltciaaolrmyawpeanrdsalebtlteear rfreonmo VBA dated before 1955 in which VBA longer elAigdibdlietifonr CalaIsnsfIoI ormutaptaitoienntcare willdbeenptraolvtirdeeadtmdeenntta.l services that are professionally For more information about eligibility for VA medical and dental benefits, contact VA at 1-877-222-VETS (8387) ordetermined by a VA dentist, in consultation with thereferring physician, to be essential to the management of http://www.va.gov/healthbenefits/.the IpBat1ie0n-4t’s4m2 edical condition under active treatment. 26 Page 2 of 3

27 Welcome to YOUR VA... Mental Health Kansas City VA Outpatient Mental Health Other Programs for Veterans with Severe Services Mental IllnessPatient Services Come to the Outpatient Mental Health Clinic to start These services are available but require a referral from any mental health services. a mental health provider. It is located in the Main Tower, First floor. Psychosocial Rehabilitation and Recovery Center Monday-Friday 8:00am-4:30pm (PRRC) (816) 861-4700 ext. 52641 Mental Health Intensive Case Management (MHICM) Mental Health Clinic (MHC) - Offers individual, Compensated Work Therapy (CWT) – requires a group, and couples/family therapy, psychiatric KCVA mental health provider. services, social work services and specialized services for women. Homeless Programs PTSD Clinical Team (PCT Clinic) - Offers individual and couples/family therapy, PTSD education groups There are Homeless Program Orientation Groups that for Veterans and families, PTSD therapy groups and meet on Monday or Thursday at 8:30am in the Mental psychiatric services. Health Clinic. If it’s an urgent need, walk into the clinic during business hours. Substance Use Disorder Programs Homeless Coordinator: (816) 861-4700 ext. 55412 Come to room M9-300 (Main Tower, 9th floor) to Veterans Treatment Court start any of these programs. KCVA works with the Municipal Courts and members Monday-Friday 8:00am-4:30pm of the community to redirect Veterans with mental Substance Abuse Residential Rehabilitation health issues and homelessness from the traditional Treatment Program (SARRTP) – Approximately 21 justice system and to provide treatment and tools day residential recovery program that includes classes to rehab back into the community. A social worker about recovery and relapse prevention, social work, works closely with the municipal courts to resolve the and psychiatric services. Veteran’s legal issues and assists them with housing Substance Abuse Treatment Outpatient Program and healthcare needs. (STOP) – Outpatient classes including recovery and relapse prevention. 27

Welcome to YOUR VA... 28 OEF/OIF/ONDOEF/OIF/OND Program Our aim is to assist with the transition of Soldiers Patient Services from the military into the VAMC for health careThe KCVA is grateful to the men and women who risk and coordination of benefits. We have developedtheir lives to fight terrorism in Afghanistan, Iraq and specialized programs, clinics, counseling, andmany other places around the world. outreach activities to help reintegrate each SoldierKCVA has developed a special team called the back into his or her community.Operation Enduring Freedom, Operation IraqiFreedom, Operation New Dawn (OEF/OIF/OND) OEF/OIF/OND Primary Care Integrated ClinicTeam to serve the Veterans who participated in thesecampaigns and other modern hostile fire campaigns. This primary care medical clinic provides one stopEach Veteran initially has 5 years of health care and shopping to new Veterans from modern warfare180 days to apply for dental care at the VA after entering the KCVA. The Veteran’s appointment atdischarge or retirement. this clinic involves one visit to see the followingServices are provided to all OEF/OIF Veterans providers:returning from modern warfare in Iraq, Afghanistan Primary Care Provider - takes brief history ofor other sites in support of modern wars. military service and environmental exposures,Coordination of care and linkage to care are provided history of medical illnesses, current medications andto all Veterans who need intense help. discusses your most current medical problem.• Pre-visit care is provided for severely injured Mental Health/ Social Work assessment- mental health/social work professional discusses current Veterans entering the VA from a military post-deployment adjustment or problems. treatment facility while they are still on active duty Physical Medicine and Rehabilitation - if a at their base. traumatic brain injury is suspected, a physical• Case management is provided to severely injured medicine doctor provides assessment and treatment Veterans in need of help managing their treatment. recommendations.• Hospital intervention and access to care are monitored by a team of highly skilled Contact Information professionals. 816-922-2033.• Community outreach is done is support of Direct numbers military unit post deployment screening and Program Manager 816-922-2034 demobilization. Transition Patient Advocate 816-922-2035Immediate care is available on a walk-in basis for Nurse Case Manager 816-922-2036OEF/OIF Veterans in need of immediate assistance. Social Work Case Manager 816-922-2037 Primary Care appointments 816-922-2112 28

29 Welcome to YOUR VA... Women’s Health Women’s Health • Cervical cancer screening (Pap smears) • Mental Health Women who have served in the Armed Forces are • Birth Control eligible for a variety of Veterans benefits. VA actively • Maternity Care encourages women to utilize the benefits due them. • Military Sexual Trauma Counseling The KCVAMC Women’s Health Program targets Patients will be referred to other VA facilities or to the programs and facilities to meet the unique needs of community for any service not available at KCVA. female Veterans. KCVA also has a Women Veteran Coordinator to address gender specific healthcare needs for women. KCVAMC services for women include — Women’s Clinic can be reached at (816) 922-2121 • Primary Care • Gynecology Services, including surgery • Mammography • Reproductive Health Care • Menopause TreatmentPatient Services 29

Welcome to YOUR VA... 30 My HealtheVetWhat is My HealtheVet?What is My HealtheVet? My HealtheVet is VA’s award-winning online Personal Health Record. It offers Veterans anywhere, any time InternetMacyceHsesatlothVeAaetVrcmuehcspetetsoeiaswdslt,etoVsrheVAVcAce’usatrheeraer,eaawaln.tnshaLdtracoidanurbf-eonew.rccmLoihanmeuednnedcihbnheneegatdalttoehtnrinaaoptnlianiodnrnwtbenweeiidPnrdseeeefiniritnissnto2hin0e2nf0io0ra3rh0l,meM3Haa,ltyetihoMHancel,atyaahrlettHh.tReheWeVeaieictrlthotcihoMsrndetyhvV.eeHIenegtitaaeotlnitesfhcwfeetea.Vhyresett,oVAgwemaettebeer-irwbcaaaa’snseysVdetattooenorywalsnwetshhbaace-tcbreeass,seadnytotiomlsetIhnatternetempower Veterans to become better partners in their health care. With My HealtheVet, America’s Veterans accesstrusted, secuMrey, aHnedainlftohrmeVedehteFaelthataundrebsenefits information, at their convenience. Manage and Track Your Healthcare: Access your VA Record (requires an In Person Authenticated account)eMy Hea•• ltPVheArPsorensVaclrHiepetaiotltnhRFJoefueilrlnaalstures • Blue Button – download a variety of information fromManage a••nd VMTitirlaiatlsacrTykraHcYekaoinltguharHnidHstGoerryaapJlohtuihnrgncaal re: AryceoscuureltVssA,sarneydcoomrudo,rrienV!cluAdiRngeacppoorindtment notes, lab VPeArPsorens••aclrHipAMecteatiidovltiincthaylRaJLnoeibdfuriaFlrrlonioeads lJsournals • (rVeAqMuediriceatsioan nHisItnoryPerson Authenticated account)• • VA AWBpepllulonieenstBsmRueentmttoCinandlee–nrsddaor wnload a variety of information from• • • VA• Vitals Tracking and Graphing • Military Health History Journal SecuyreoMuresVsaAginreg cord, including appointment notes, lab Patient Services results, and more!• ActivitHy aonwd FtooodsJtoaurrtnaulssing My HealtheVe• t VA Medication History• MedicSaltLeibpra1ri:esSign Up • VA Wellness Reminders• • VA Appointment Calendar 1. Go to www.myhealth.va.gov Secure Messaging 2. Click the Register Today button on the right hand side of the web page.• 3. Fill out information as it appears on your VA ID, including your middle name or middle initial.How to start using My HealtheVet4. Be sure to check the VA Patient box! This is important if you would like to refill prescriptions online and upgrade your account.Step 1S: tSepig2n: IUn Pperson Authentication 1. Go tUopgwrawdewyo.muryahcceoaunltthin.vjuas.tgaofvew, easy steps. 2. ClickAfttehreupRgeragdiisntgeyoruTcoadnaviyew your appointments, get wellness reminders, see blood bBFiuelltsotw12uo..uornrtekoirntenSRIofsnheouftoacolrhtdwrhsmme,aeyanaaorcntduitikdgoirsonmhitGg,nhtnooyrveohtaeehu!asrVernnilARmotdecealPaesnlpaaitCdsptIBeDieeOeotaCnoforIotfansrftbVoothhAorneemxSMtya!watofyTifeouHhMnbreifesaopVmlrtiAamhsbgeeIiVerDmei.nt,pCtihnooeocrrLtldueaiandnranittnionirgfg. 3. upg3r.ade Aylolouwruapctcoo2uwneet.ks for your account to be upgraded. Cyeonuterr,mReiledadseleofname or middle initial. and 4. you would ClioknettaoctrtehfeilKlCpVrAesMcryipHteiaoltnhseVoentline Coordinator if you have any questions. Step 3: Secure Messaging 816-9222404 Room M6-214Step 2: In Person AuthenticationUAfptgerraudpegyroaduirnagcycSOooenuuccuencreytaoMniunehvsajCsiuvaoeegsnwiytntoagaucytrtaofutbehupoewgrnrKa,atCdhepeVeadAprseaoMdcyciybonsauHttrne.emtOap, llpetosthgn.ienitnVsteao,tnugCdseoegootsr3etwdoc0iunterhaeletlomnreeisfssyasoguirnegh.maveinadnyeqrus,esstNeioeantsib.olnoaoldHelp Desk - 877-327-0022 work results, and more! Janet Throop - 816-922-2404 Room M6-214

Patient Services31 Welcome to YOUR VA... Virtual Medicine Telemedicine o Teleretinal imaging in CBOCs o TelePathology o TeleOncology o TeleSCI (with the SCI Center in St. Louis) o Mobile Medical Unit Care Coordination Home Telehealth (CCHT) – Veterans can communicate important health information to their primary care provider using a small monitor that plugs into their home telephone line. With the push of one button on the monitor the Veteran can transmit information such as blood pressure, heart rate, and oxygen level without leaving their home. Veterans with a diagnosis of congestive heart failure, high blood pressure, COPD, diabetes or depression can be eligible for the monitor. 31

Welcome to YOUR VA... 32 Inpatient Care “To care for him who shall have borne the battle, and for his widow, and his orphan” ~ President Abraham LincolnInpatient Visiting Guidelines • Most of inpatient rooms are not private. Visitors are asked to be mindful and respectful of theWe encourage family and friends to visit during the Veteran in the other bed.Veteran’s inpatient stay. Some basic guidelines for anoptimal visit: • If you are feeling unwell, such as a cold, flu, or• Ask attending medical staff if there are any special running a fever, we ask that you stay home until you are feeling better. Perhaps a phone call would visitation guidelines or limitations that you need be a great way to visit. to know.• There may be times when permission to visit is needed by the Veteran’s attending physician.• Children visiting the Medical Center are to be accompanied by an adult at all times. Inpatient Care 32

33 Welcome to YOUR VA... Inpatient Care Surgical Ward A 25-bed unit located on the west side of the 3rd floor, Main Tower. This ward specializes in the delivery of comprehensive medical and surgical care of patients who are under the care of the following surgical sub-specialties: general surgery, vascular/ thoracic surgery, orthopedics, urology, ENT, and neurosurgery. Patient care focuses on direct patient care, education of the patient and the patient’s family, and ensuring safety for the patients, visitors, and staff.Inpatient Care Medical Ward This 48-bed medical/surgical unit located on the 8th floor, Main Tower. This ward is the base unit for Oncology, General Medicine, and ENT services. Care is provided to patients with medical diagnoses. Special services focus on patients requiring telemetry, pain control, chemotherapy, tracheostomy care, and terminal/palliative care. Acute Inpatient Psychiatry Substance Abuse Residential Rehabilitation Treatment Program This is a 25 bed unit located on the 10th floor. This unit specializes in the care of acutely, mentally ill This unit provides Veterans with an intensive patients. The major diagnoses consist of depression, substance abuse treatment program in a residential schizophrenia, bipolar affective disorder, and setting located on the 9th floor of the Main Tower. substance abuse. There are provisions available for This intensive psychiatric and medical treatment female Veterans. Psychiatrists, residents, nurses, and program is staffed by a team of substance abuse social workers make up the three treatment teams. treatment specialists, providing education and rehabilitation to assist Veterans in returning to Intensive Care Units independent living within the community. Located on the 3rd floor, Valor Building, this unit 33 provides specialized acute care for the critically ill adult patient 24 hours a day.

Welcome to YOUR VA... 34 Veteran Services We are very grateful to the men and women who served in our military and fought for the freedoms of this great nation. Veterans Veterans Health National Cemetery Veteran Services Benefits Administration AdministrationAdministration (NCA) (VBA) (VHA) Provides – at no cost to the• Claims for service Manages any of your health Veteran’s family – connected disability care benefits • A gravesite • Headstone or marker• Education benefits www.va.gov • Presidential Memorial• Home Loans• Life Insurance • 160 Medical Centers Certificate• Pension • 854 Community Clinics • U.S. flag• Vocational • Perpetual care of the 34 Rehabilitation and gravesite and will open Employment and close the grave.www.ebenefits.va.gov Fees for services provided by funeral directors and other • 58 Regional Offices related costs must be paid for by the Veteran’s family. www.cem.va.gov • 120 Cemeteries

35 Welcome to YOUR VA... ChampVA ChampVA where the eligible spouse requires medical attention, he or she may choose the VA health care system or The Civilian Health and Medical Program of the coverage under CHAMPVA for his/her health care Department of Veterans Affairs (CHAMPVA) is a needs. comprehensive health care program in which the VA For More information: shares the cost of covered health care services and http://www.va.gov/hac/forbeneficiaries/champva/ supplies with eligible beneficiaries. champva.asp or call 1-800-733-8387 Eligibility To be eligible for CHAMPVA, you cannot be eligible for TRICARE, and you must be in one of these categories:Veteran Services 1. The spouse or child of a Veteran who has been rated permanently and totally disabled for a service-connected disability by a VA regional office. 2. The surviving spouse or child of a Veteran who died from a VA-rated service-connected disability. 3. The surviving spouse or child of a Veteran who was at the time death rated permanently and totally disabled from a service-connected disability. 4. The surviving spouse or child of a military member who died in the line of duty, not due to misconduct (in most of these cases, these family members are eligible for TRICARE, not CHAMPVA). An eligible CHAMPVA sponsor may be entitled to receive medical care through the VA health care system based on his or her own Veteran status. If the eligible CHAMPVA sponsor is the spouse of another eligible CHAMPVA sponsor, both may now be eligible for CHAMPVA benefits. In each instance 35

Welcome to YOUR VA... 36 Veteran ServicesVet Center For more information www.vetcenter.va.gov or call 877-WAR-The Vet Center Program was established by Congress VETS(927-8387) to speak with a Vet Center Counselorin 1979 out of the recognition that a significant at any time.number of Vietnam era vets were still experiencing For Veterans with questions about dental eligibility atreadjustment problems. Vet Centers are community KCVA please call 816-861-4700 x52498based and part of the U.S. Department of Veterans Dental Clinic 816-861-4700 x57395Affairs.Services Does VA have readjustment counseling for family Veteran Services members?Readjustment Counseling Family members of combat Veterans have beenReadjustment counseling is a wide range of psycho eligible for Vet Center readjustment counselingsocial services offered to eligible Veterans and their services for military related issues since 1979.families in the effort to make a successful transition Am I eligible for Vet Center readjustmentfrom military to civilian life. They include: counseling?• Individual and group counseling for Veterans and If you, or a family member, served in any combat zone and received a military campaign ribbon their families (Vietnam, Southwest Asia, OEF, OIF, etc.) than your• Family counseling for military related issues family is eligible for Vet Center services.• Bereavement counseling for families who Where is counseling offered? experience an active duty death• Military sexual trauma counseling and referral Kansas City Vet Center• Outreach and education including PDHRA, 4800 Main Street, Suite 107 community events, etc. Kansas City, MO 64111• Substance abuse assessment and referral Phone: 816-753-1866 Or 877-927-8387• Employment assessment & referral• VBA benefits explanation and referral Fax: 816-753-2328• Screening & referral for medical issues including TBI, depression, etc.Normal working hours are 8:00am to 4:30pm Mondaythrough Friday. In an effort to better serve the Veteranand family members, upon request Vet Centers willprovide services after normal work hours and/or onweekends. 36

Stay Connected37 Welcome to YOUR VA...→ Stay Connected Follow us on Facebook or Twitter to stay current with the latest news, events, and updates. www.twitter.com/VeteransHealth www.facebook.com/VAKansasCity Sign-up to receive the monthly newsletter at http://www.kansascity.va.gov 37

Welcome to YOUR VA... 38 Important KCVA Phone NumbersImportant KCVA Phone NumbersMain Hospital (816) 861-4700 or (800) 525-1483After Hours (816) 861-4700 or (800) 525-1483 ext. 57326Patient Advocate (816) 861-4700 or (800) 525-1483 ext. 52414Pharmacy (816) 861-4700 or (800) 525-1483 ext. 52602Enrollment Coordinator (816) 861-4700 or (800) 525-1483 ext. 57936My Primary Care Provider My Primary Care Team My Primary Care Team Contact Other Important NumbersVA Health Resource Center 1-877-222-VETS (8387) Important Phone NumbersVeterans Benefits Administration 1-800-827-1000National Call Center for Homeless Veterans 1-877-424-3838Veterans Crisis Line 1-800-273-8255 and press 1Please Note: The phone numbers listed are subject to change. If you are unable to reach an individual at thespecific number listed, please call (816) 861-4700 and ask for the desired department or individual. For yourconvenience the medical center website should also have an updated and current listing of phone numbers. www.kansascity.va.gov 38

39 Welcome to YOUR VA...Phonebook Department Contact Information Extension 56700 (816) 861-4700 or 1-800-525-1483 56336 56492 Department Contact Information 56494 56671 57318 Department 52150 10 West 52763 3 West 52717 8 East 52155 8 West 52180 9 East 57601 Anticoagulation Clinic 52144/53406 Audiology 52479 Billing 57121 Cafeteria/Retail Store 57452 Cardiology 52498 Chaplain Services 52103 Compensation and Pension Exams 52155 Dermatology 52480 Dialysis 57936 DIGMA 57435 Ear, Nose, and Throat 52761 Eligibility/Registration 52155 Emergency Department 52144/56352 Endocrinology 52144 Endoscopy scheduling 52641 Enrollment/Registration 52155 Eye Clinic 52155 Fee Basis Requests 57347 Gastroenterology 52321 General Surgery 52641 Gold Clinic 56625 Homeless Program 56538 Hematology 56050 Infectious Disease 53537 Inpatient Pharmacy 52404 Learning Center Mental Health Clinics Mental Health Intensive Case Management MICU Minority Veterans Coordinator Missed Appointment/ Address Changes My HealtheVet Coordinator 39

Welcome to YOUR VA... 40 Department Contact Information (816) 861-4700 or 1-800-525-1483Department Contact Information Extension Phonebook Department 52155 Neurology 52144/53480 Neurosurgery 56237 Nuclear Medicine 52740 Occupational Therapy 52035 OEF/OIF Patient Advocate 52034 OEF/OIF/ONDD Coordinator 52155 Oncology 52144/57928 Orthopedics 57313/57364 Outpatient Pharmacy 52702/52703 Patient Advocate 56568 PCU 53321 Pharmacy- Auto Care Refills 52602 Pharmacy- Refills 52740 Physical Medicine and Rehabilitation 52144/56278 Plastic Surgery 56246 Podiatry 52647 Post-Traumatic Stress Recovery 52740 Preventive Amputation Clinic 56841 Prosthetics 52641 Psychiatry Urgent Care/Crisis 56501 Radiology 57567/57569 Release of Information 52155 Renal 52155 Rheumatology 56325 SICU 52155 Silver Clinic 52155 Sleep Disorders 52740 Spinal Cord Injury 56278 Surgery 52740 Traumatic Brain Injury 57440 Transition/Social Work 52433 Travel 52144/57928 Urology 57883 Volunteer Services 56823/56827 Wheelchair 52144/56546 Wound Care Clinic 40

FAQ: Frequently Asked Questions41 Welcome to YOUR VA... FAQ Do I have to enroll to receive VA Healthcare? Yes, unless a Veteran is seeking care for VA-rated service-connected disability or has a service- connected disability of 50% or more. How can I verify my enrollment for VA Healthcare? You can contact your local VA Healthcare facility staff at (816) 922-2498. If enrolled in VA Healthcare, must I use the VA exclusively? There is no requirement that the VA must become your exclusive provider. Please be aware that the authority to pay for non-VA care is limited. Your VA doctors are under no obligation to follow a treatment or medication plan recommended by private doctors if they disagree with that plan. What is a VA service-connected rating and how do I establish one? A service-connected rating is an official ruling by the Veterans Benefits Administration (VBA) that your illness/condition is directly related to your active military service. VA Regional Offices establish these ratings. Can I keep and use my private insurance and still use VA Healthcare? We encourage you to keep any private insurance you may have. Can Veterans get routine health care at non-VA facilities at the VA’s expense? VA must provide specific authorization for care outside the VA. This service is otherwise known as Fee Basis care. There may be specific eligibility criteria for Veterans seeking non-VA services. 41

Welcome to YOUR VA... 42 Notes Notes.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................4..2.................................................................................................

Notes43 Welcome to YOUR VA... Notes .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... ................................................................................................4...3.................................................................................................

Welcome to YOUR VA... 44 Scan Me Kansas City VA 4801 Linwood Boulevardwww.kansascity.va.gov Kansas City, MO 64128 816-861-4700 or 1-800-525-1483 44