VA Form FL-10-100: Prosthetic Record Transfer

VA Form FL-10-100: Prosthetic Record Transfer – Veterans seeking prosthetic devices, repairs, or related services through the Department of Veterans Affairs (VA) often need their prosthetic history transferred between facilities. VA Form FL-10-100 (also known as Form Letter 10-100) facilitates this by requesting the transfer of a veteran’s Record of Prosthetic Services (VA Form 10-2319) or related information from one VA field station to another.

This article explains the form’s purpose, who needs it, how to use it, and broader context on VA prosthetic services for U.S. veterans.

What Is VA Form FL-10-100?

VA Form FL-10-100 is a specialized VA form letter used internally by VA Prosthetic and Sensory Aids Service (PSAS) staff. Dated February 1980, it requests:

  • Transfer of an existing VA Form 10-2319 (Record of Prosthetic Services) from another station.
  • Information on prior prosthetic appliances if no full record exists.
  • Confirmation of other folders (Treatment, Correspondence, or Claims) if relevant.

Download VA Form FL-10-100
https://www.va.gov/vaforms/medical/pdf/FL%2010-100.pdf

It is not a form veterans typically fill out themselves but one generated or used by VA staff when a veteran relocates or seeks services at a new facility.

Who Needs VA Form FL-10-100?

Veterans enrolled in VA health care who:

  • Have a medical need for prosthetic items or services (e.g., artificial limbs, braces, wheelchairs, hearing aids, or other durable medical equipment).
  • Are transferring care between VA medical centers (VAMCs) or field stations.
  • Require continuity of prosthetic records for ongoing treatment, repairs, or new prescriptions.

Eligibility for VA prosthetic services generally requires enrollment in VA health care and a demonstrated medical need, often tied to a service-connected condition, though some non-service-connected veterans qualify under specific criteria. Contact your local PSAS for personalized eligibility.

How VA Prosthetic Services Work?

The VA’s Prosthetic and Sensory Aids Service (PSAS) is one of the largest providers of prosthetic and rehabilitative items worldwide. Services include:

  • Custom orthotics and prosthetics.
  • Wheelchairs, scooters, and mobility aids.
  • Hearing aids, eyeglasses (for qualifying veterans), and sensory devices.
  • Home modifications (via HISA grants), adaptive equipment for vehicles, and more.

Records like VA Form 10-2319 track issued items to ensure proper fitting, repairs, replacements, and continuity of care.

Related benefits include the Clothing Allowance (VA Form 10-8678) for wear and tear from prosthetics and Home Improvements and Structural Alterations (HISA).

Step-by-Step Guide: Requesting Prosthetic Record Transfer

  1. Contact Your Local VA Facility — Visit or call the PSAS at your nearest VA Medical Center. Use the VA Facility Locator: https://www.va.gov/find-locations/.
  2. Discuss Your Needs — Provide details about prior prosthetic services. VA staff will determine if FL-10-100 is needed to request records from another station.
  3. Submit Supporting Information — Bring identification, service records, and details of current needs. A prescription from a VA provider is often required for new items.
  4. Follow Up — Records transfers help ensure timely service. Processing times vary; inquire about status.

For urgent needs, speak directly with PSAS staff. Veterans can also access some information via My HealtheVet.

While FL-10-100 is primarily administrative, veterans interact with forms like:

  • VA Form 10-0103 for HISA grants.
  • VA Form 10-1394 for adaptive equipment.
  • VA Form 10-8678 for clothing allowance.

Always use the latest versions from VA.gov/forms.

Common Questions About VA Prosthetic Services

Is VA Form FL-10-100 still current?
It remains listed on official VA forms resources and supports record continuity, even if some processes are now electronic.

Can I request my own prosthetic records?
Use appropriate release forms (e.g., VA Form 10-5345 series) for personal copies. Prosthetic-specific records are best handled through PSAS.

What if I move to a new state?
Notify your current and new VA facilities. PSAS coordination ensures seamless transfer of care and equipment records.

Tips for Veterans Seeking Prosthetic Benefits

  • Enroll in VA health care if not already done (VA Form 10-10EZ).
  • Maintain copies of your prosthetic history.
  • Work with accredited providers and VA-certified clinicians.
  • Explore additional programs like service dog benefits or vehicle modifications through PSAS.

For the most accurate guidance, contact your local VA Prosthetic and Sensory Aids Service or visit prosthetics.va.gov.

Veterans with questions about eligibility or services should reach out to their local VA facility or call 1-800-827-1000. Information is based on official VA sources and is current as of available records. Always verify the latest details directly with the VA, as policies can evolve.