Sergeant Ernest I. "Boots" Thomas VA Clinic

The Substance Use Disorder (SUD) Team offers services designed to assist Veterans overcome addiction and mental illness through psychotherapy, education, support, and medication-assisted treatment. They also treat Veterans with co-occurring substance use disorder and PTSD. Veterans can be seen by a Case Manager as a walk in during business hours and then provided with an assessment to determine which level of care listed below is the most appropriate within this clinic.  Areas without separate SUD Specialty Clinics can also access services for Substance Use Disorders either within Mental Health Clinics or via Telehealth Services. Some of the SUD programs listed below may not be available within each location and Veterans may be eligible to utilize community providers/programs, if necessary. Substance Use Disorders has 4 programs: Ambulatory Detox, Intensive Outpatient, Outpatient, Residential Rehab.

Learn more about our VA treatment programs

The registered nurses on our Nurse Advice Line provide you and your family with helpful medical advice and free, confidential answers to many of your health care questions. Call anytime. We’re here 24 hours a day, 7 days a week. In addition, our nurses can:

• Help you manage many of your basic health care needs
• Answer questions about your current medications or medical condition
• Discuss your health care concerns and help you decide the best way to handle them
• Offer improved access to VA services

Our Audiology and Speech Pathology clinic provides diagnostic and rehabilitative services, VA compensation and pension examinations, and screening for employee hearing conservation. We offer a full range of audiology and speech pathology services like:

• Hearing and balance evaluations
• Selection, management, and repair of hearing aids and assistive listening device assessments
• Evaluation, programming, and management of cochlear implants and bone-anchored implants
• Evaluation and treatment for auditory processing disorder
• Services that help with speech, language, fluency, voice, cognitive communication, swallowing, stuttering, and laryngectomy (surgical removal of the larynx, which contains your vocal cords)

Learn more about VA hearing aids

Our low vision outpatient clinic can assess your needs and provide a rehab plan tailored to your personal goals. Our team of specialists and social workers will work with you to find the right aids and services. Our clinic services include:

• Comprehensive eye exams
• Visual skills assessments
• Guidance on how to develop visual motor and perceptual skills
• Training to help you manage daily activities with your vision loss

• COVID-19 vaccines for eligible Veterans and staff

View more details about COVID-19 Vaccines, Testing, as well as our Operational Plan/Safety Precautions

Vaccines are available at the following NF/SG Veterans Health System locations:

• Gainesville Primary Care VA Clinic - 5469 SW 34th St. Gainesville, FL 32608
  • Vaccine type available - Pfizer BioNTech Moderna
  • Appointment Preferred
  • Location within facility - Primary Care Clinics (where provider is located).
  • Monday- Friday 8:00 a.m.- 3:00 p.m.
     
• Lake City VAMC - 619 S. Marion Ave Lake City, FL 32025
  • Vaccine type available - Pfizer BioNTech Moderna
  • Appointment Preferred
  • Location within facility - Primary Care Waiting Room (located on 2nd floor in the Orange & Blue waiting area)
  • Wednesdays, 8:30 a.m. - 1:00 p.m.
     
• Leo C. Chase Jr. VA Clinic - 100 Deerfield Preserve Blvd St. Augustine, FL 32086
  • Vaccine type available - Moderna
  • Appointment Preferred
  • Location within facility - Clinic Conference Room 
  • Every 3rd Thursday of the month, (starting 10/19/23) 1:00 p.m. - 3:00 p.m.
  • Will start October 17, 2024
     
• The Villages Outpatient Clinic - 8900 Southeast 165th Mulberry Lane The Villages, FL 32162-5884
  • Vaccine type available - Pfizer BioNTech Moderna
  • Appointments Required
  • Location within facility - PC Walk-in Clinic
  • Wednesdays, 8:30 a.m.- 3:00 p.m.
     

• Sergeant Ernest I. "Boots" Thomas VA Clinic - 2181 East Orange Avenue Tallahassee, FL 32311-6144

  • Vaccine type available - Moderna
  • Appointment Preferred
  • 1st Floor, Walk-In Clinic (WIC)
  • Tuesdays & Thursdays, 1:00p.m. - 3:00 p.m.

   

• Perry CBOC -  1224 North Peacock Ave. Perry, FL 32347
  • Vaccine type available - Moderna
  • By Appointment. 
  • 4th Thursday of every month

  • 10:45 a.m.-12:30pm. 

     

• Jacksonville Outpatient Clinic - 1536 N. Jefferson Street Jacksonville, FL 32209
  • Vaccine type available - Pfizer BioNTech Moderna
  • Appointments Preferred
  • Location within facility - Eval Clinic, 1st floor
  • Thursdays 8:30 a.m. - 3:00 p.m.
     
• Jacksonville University - 3901 University Boulevard South Jacksonville, FL 32216-4312
  • Vaccine type available - Pfizer BioNTech Moderna
  • By Appointment. Primary Care.  
  • Wednesdays
  • 9:00 a.m. -11:00 a.m.
     
• Jacksonville North - 145 Heron Bay Rd. Jacksonville, FL 32218-2670
  • Vaccine type available - Pfizer BioNTech Moderna
  • By Appointment. Primary Care
  • Wednesdays
  • 8:30 a.m.-3:00 p.m.
     
• Valdosta CBOC - 348 Enterprise Drive, Suite B Valdosta, GA 31601-5169
  • Vaccine type available - Moderna
  • Appointment Preferred
  • Every other Wednesday (starting 10/02/24)
  • 1:00 p.m.-3:00 p.m.
     
• Palatka CBOC - 400 North State Road 19, Suite 48 Palatka, FL 32177-2449
  • Vaccine type available - Moderna
  • Appointment Preferred 1st & 3rd Thursdays (starting 10/02/24)
  • 12:30 p.m. - 2:00 p.m.
     
• Marianna CBOC - 4970 Highway 90 Marianna, FL 32446-6802
  • Vaccine type available - Moderna
  • Appointment Preferred
  • Every other Wednesday
  • 10:45 a.m. - 12:00 p.m.
     
• Middleburg CBOC - 400 College Drive, Suite 200 Middleburg, FL 32068-8525
  • Vaccine type available - Moderna
  • Appointment Preferred
  • 1st Wednesday of month (starting 10/02/2024)
  • 1:00 p.m. – 3:30 p.m.
     
• Ocala CBOC - 4826 SW 49 Road Ocala, FL 34474
  • Vaccine type available - Moderna
  • By Appointment
  • Check in at main reception area, Thursdays only
  • 1:00p.m. - 3:00 p.m.
     
• St. Marys CBOC - 2603 Osborne Road, Kings Bay Village, Suite E St. Marys, GA 31558-3843
  • Vaccine type available - Moderna
  • Appointment Only
  • Wednesdays- Immunization Clinic  
  • 8:00 a.m. - 11:00 a.m.
     
• Waycross CBOC - 515B City Boulevard, City Square Plaza Waycross, GA 31501-8016
  • Vaccine type available - Moderna
  • Appointment Only
  • 2nd Tuesday of the month (starting 10/08/2024)
  • 2:00 p.m. - 3:00 p.m.

If you’re eligible for VA dental care, we offer a full range of quality dental services like:

• Routine exams and teeth cleaning
• Restorative procedures, including fillings and crowns
• Comprehensive surgical care, including extractions (pulling teeth) and oral cancer screening
• Routine and advanced prosthodontic care, including bridges, dentures, and dental implants
• Routine and advanced periodontal care, including root canals, gum treatments, and supporting bone care
• Oral and facial reconstruction surgery to repair damage from traumatic injury or serious illness

We help Veterans who are homeless or at risk of becoming homeless due to financial hardship, unemployment, addiction, depression, or transition from jail. Contact one of our care coordinators to get help with:

• Immediate food and shelter needs, including both transitional and permanent housing
• Job training, life skills development, and education
• Justice system navigation and community reentry from jail
• Financial support to prevent homelessness
• Addiction and depression treatment
• Health and dental care

Learn more and connect with a care coordinator

The VA Intimate Partner Violence Assistance Program provides services and resources to Veterans, caregivers, their families and VA employees.  The goal of the program is to focus on health and safety in relationships.  

Types of Intimate Partner Violence

Men and Women experience intimate partner violence. The number could be twice as high for the veteran population. Intimate Partner Violence consists of the following:

• Physical Abuse-Intentional Use of Physical Force
• Emotional Abuse-Trauma caused by acts, threats of acts or coercive tactics.
• Sexual Abuse-Unwanted sexual activity or sexual touching; nonphysical such as sexting where consent is not given. 
• Stalking(Cyberstalking)-A pattern of unwanted attention; in person or virtually that causes fear for safety.
• Financial Abuse-Controlling Money & Ruining Credit.                          

Intimate partner violence can affect both women and men.  North Florida/South Georgia Veteran Health System Intimate Partner Violence Assistance Program  Coordinators who can assist Veterans, significant others, caregivers and VA employees who use or experience intimate partner violence in their relationships by linking them with VA or community resources. 

For questions or support, contact your local Intimate Partner Violence Assistance Program Coordinator(s) at / or .    

Resources

• Read more about the  Intimate Partner Violence Assistance Program on the national page at https://www.socialwork.va.gov/IPV/About.asp 
• Intimate Partner Violence Assistance Program (IPVAP) General Program Fact Sheet
• Video: Women’s Health: Relationship Health Safety Screening Information
• Video: Health Safety Screening Information Safety Screening Information
• Video: Relationship Health and Safety

Florida domestic violence hotline

• 1-

Georgia domestic violence hotline                                                                                          

• 1-

Our laboratories provide a full range of clinical and diagnostic testing services. Our laboratory and pathology services include:

• Surgical pathology (study of biopsy tissue and tissue removed during surgery) 
• Cytopathology (study of cells, pap tests, body fluids)
• Testing for infectious diseases
• Cytopathology (study of unusual cells) and surgical pathology (study of tissue removed during surgery)
• Autopsy services for hospital patients

Our medical center and clinics provide consultation, evaluation, and treatment for a range of issues that may impact your mental health or emotional well-being. Our confidential outpatient services include individual and group therapy for:

Same day access: A Veteran Walk In to be assessed/triaged by a Provider, for non-life threatening/non-emergent needs within any clinic location (during regular business hours).

Primary care is the preferred entry point for accessing mental health services at the VA to enhance coordination of care. However, a Veteran may also be seen in any of the Mental Health clinics.

Contact the Veterans Primary Care Provider to inquire as to PCMHI (Primary Care Mental Health Integration) care.

(If unsure of Veterans Primary Care Provider, contact .)

The PCMHI Team may be a separate specialty clinic of providers or may be within the Veterans Primary Care team or Mental Health Clinic. Veterans may be seen within PCMHI for 4-8 weeks of services at this access point. Additional referrals can be made from PCMHI to MH Clinic services and Other Specialty Clinics.

Learn more and connect with a care coordinator

Our registered dietitians can help you maintain or improve your health with good nutrition tailored to your needs. Through group, individual, and telehealth sessions, we provide nutrition education and counseling in areas such as:

• Cardiovascular and heart health
• Chronic kidney disease
• Diabetes (including gestational diabetes)
• Eating disorders and digestive health
• Pregnancy and postpartum nutrition
• Weight management

Our optometrists provide many eye-related services and treatments like:

• Vision services and eye exams
• Treatment for diseases and injuries of the retina, cornea, and other parts of your eye
• Low-vision services for conditions like macular degeneration that can’t be corrected by glasses, surgery, or medication
• Special eye exams for diabetic patients

If you have symptoms of PTSD after a traumatic event, we can help. We offer assessment and treatment support such as private counseling, group therapy and medication. It’s never too late to get help.

Post-traumatic Stress Disorder (PTSD) is a mental health concern that can occur after a traumatic event like war, physical or sexual assaults, natural disasters, or accidents. Most people have some stress reactions after trauma. If the reactions disrupt your life and do not go away over time, you may have PTSD. PTSD does not need to be a lifelong problem. There is no single treatment that will work for every person, but help is available.

• Skill development
• Evidence-Based therapies to address your traumatic event(s) (Cognitive Processing Therapy for PTSD, Prolonged Exposure, Eye Movement Desensitization and Reprocessing, Cognitive Behavioral Conjoint Therapy, Written Exposure Therapy)
• Focused therapy groups
• Psychiatric assessment and medication management
• Treatment for addictive disorders in combination with PTSD

Additional Resources

• Learn more about PTSD
• PTSD : Decision Aid (va.gov)
• Cognitive Processing Therapy for PTSD - PTSD: National Center for PTSD (va.gov)
• Prolonged Exposure for PTSD - PTSD: National Center for PTSD (va.gov)
• Eye Movement Desensitization and Reprocessing (EMDR) for PTSD - PTSD: National Center for PTSD (va.gov)
• About Face - National Center for PTSD (va.gov)

Our patient advocates work hard to make sure you receive the best possible care at our health care facilities. They can:

• Help you get answers or address concerns with your care team
• Advocate for patient and family rights
• Serve as advocates for minority Veterans, women Veterans, and Veterans with disabilities
• Offer specialized help to former prisoners of war and Veterans transitioning from Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND)

Learn more and connect with a patient advocate

Learn more about the Veterans Experience Office (VEO)

Our pharmacy provides you and other Veterans with convenient, efficient service to make it easy to get your medications and medical supplies. You can:

• Pick up new prescriptions in person
• Refill prescriptions online and by phone or mail
• Safely dispose of medicines

Learn more about our pharmacy

Our physical medicine and rehabilitation doctors and therapists focus on whole-body health. They can help you manage your pain, increase your independence, and improve your quality of life with services like:

• Personalized therapy for your rehabilitation
• Medication, stretching, and massage for short-term pain relief
• Strengthening exercises and movement therapy to increase fitness and prevent future pain
• Recreation therapy to create coping and social skills
• Occupational therapy to improve coordination and balance, and help you manage life skills and everyday activities
• Assessment and treatment of speech, language, and swallowing disorders

Physical therapy, occupational therapy and kinesiotherapy can help restore movement and function if you have been disabled by injury or disease.

Physical therapy, occupational therapy and kinesiotherapy can help restore movement and function if you have been disabled by injury or disease

Our podiatry specialists evaluate and treat a wide range of injuries, diseases and disorders that affect your feet and ankles—from ingrown toenails to inflammation to diabetic foot ulcers.

After years of walking, running, marching, jumping, rappelling, and parachuting, many Veterans experience trouble with their feet and ankles. We can help treat those problems so you can continue to enjoy an active lifestyle. Our podiatry services include:

• Arthritis care for inflamed, swollen, or damaged joints
• Foot and ankle fracture treatment, repair of cartilage, torn tendons and ligaments
• Injections to reduce pain and swelling
• Joint arthroplasty (surgical repair or reconstruction) and replacement
• Minimally invasive surgery and post-surgical rehabilitation
• Foot health maintenance procedures (bunion removal, resurfacing, and nail trimming)

Your VA primary care provider will work closely with you to plan for all the care you need to stay healthy and well throughout your life, including immunizations and vaccinations. They will also work with family members or caregivers who support you.

A strong network of family and internal medicine specialists and services can offer you the best possible care. Internal medicine doctors (internists) prevent, diagnose, and treat adult diseases. Doctors who specialize in family medicine provide primary health care to the entire family. Your primary care team can coordinate the many services you receive such as:

• Labs and blood work
• Mental health care
• Womens health care
• Radiology
• Social services
• Telehealth

If you’re struggling with a mental health problem—or just need to talk with someone—we can help. We offer treatment and support such as therapy, alternative treatments  and medications when needed.

Good mental health is a vital part of your overall wellness. Our psychiatry teams offer consultation, evaluation, and treatment to help you with a range of mental and behavioral health problems, including:

• Depression (including sadness and grief), anxiety (including worry and nervousness), and personality disorders
• Addictive behaviors and substance abuse
• Post-traumatic stress disorder (PTSD) and combat-related stress disorder
• Emotional issues like anger management and relationship challenges, confused thinking, memory problems, and invasive thoughts or ideas
• Aggressive or self-harming behaviors

We offer radiology and imaging services to diagnose and treat many medical conditions.

The technologists who perform your exams are certified by the American Registry of Radiologic Technologists and have undergone rigorous training to operate high technology equipment in the safest manner possible. To learn more about radiologic technologists and various specialty certifications, visit the ARRT.

The Radiologists who interpret your exams are highly trained specialist physicians who will work closely with your treatment team to make sure you receive an accurate and timely diagnosis. To learn more about Radiologists, click here.

Our services include:

• General X-ray and Fluoroscopy - In the General X-ray section, you may receive x-rays of all the major bones in your body. These exams generally only take a few minutes to complete. We also perform more advanced imaging procedures such as arthrograms (joint evaluations with contrast), myelograms (spine evaluations with contrast), lumbar punctures (for testing of cerebrospinal fluids), and a variety of GI studies including Upper GIs, esophorias, barium enemas, and small bowel follow throughs. We use live x-ray (called fluoroscopy) to support the operating room and other departments that utilize image guided procedures. We also perform therapeutic joint injections using corticosteroids or viscosupplementation to alleviate pain in the shoulders, knees, and hips.
• Ultrasound (Sonography) - Ultrasound is another imaging test that does not use radiation, but instead utilizes sound waves from a probe or transducer to create pictures of the body’s internal organs and structures. Ultrasound can be used to help diagnose swelling, pain, and infection. It is also frequently used to provide guidance for needle biopsies and diagnose problems related to blood flow.
• Mammography (mammograms) - Mammography is an x-ray imaging method used to examine the breast of both men and women for early detection of cancer and other diseases related to the breast. It can be used as both a diagnostic and screening tool all while using very little radiation dose. Patients whose cancers are found and treated earlier have a better prognosis than those with late-stage cancers, typically undergoing less invasive treatments experiencing much higher survival rates. Some of the services we provide include screening and diagnostic mammograms, as well as breast biopsies. We pride ourselves on providing exceptional care and taking the initiative to make our patients as comfortable as possible during their time with us.
• Computer tomography (CT) - Computed tomography (commonly called CT or CAT scan) is a diagnostic imaging test used to create very detailed images of blood vessels and soft tissues, bones, and internal organs. The images created by a CT scanner are cross sectional, meaning they are thin slices, like a loaf of bread. These cross sectional images can then be reformatted in multiple planes and even be used to create three-dimensional images.
• Nuclear Medicine - Nuclear medicine is a specialized area of radiology that uses small amounts of radioactive materials, or radiopharmaceuticals, to examine the organ structure and function. With our state-of-the-art equipment we can help diagnose and treat abnormalities very early in the progression of a diseases, such as thyroid cancer. The positron emission tomography scan, or PET scan, is the most effective scan used to detect the stage of cancer. A PET scan relies on metabolic differences between malignant and non-malignant cells to detect cancer in the body. Some of our other common scans include: Bone Scans, Thyroid Scans, Gastric emptying study, Nuclear stress test.  Some good resources to learn more about Nuclear Medicine: Nuclear Medicine Patient Topics; Nuclear Medicine Procedures and Therapies; Nuclear Medicine and Radiation Safety; "See the Future" Video Link 
• Magnetic resonance imaging (MRI) - Magnetic Resonance Imaging, or MRI, uses powerful magnetic fields instead of radiation to create detailed images of the body’s internal structures. MRI scans are ideal for evaluating the soft tissues of the body can see things that are not visible in CT scans. MRI scans generally take longer than CT scans and will require you to hold very still during the exam. If you are claustrophobic, you should tell your doctor or the technologist before being scheduled for this exam. Since MRI uses powerful magnets, it is important that you complete an accurate screening to ensure you do not have any implants or metallic fragments in your body that are not safe for MRI. For more information on MRI safety, this website is a good resource.
• Dual Energy X-Ray Absorptiometry - DEXA or DXA stands for Dual Energy X-ray Absorptiometry. It is the most widely used study to test your bone density and to see how strong your bones are. This painless scan usually takes between 10-15 mins using small amounts of radiation, focusing on your hip, spine and occasionally your forearm. This service is offered at the Malcom Randall VAMC, The Villages OPC, Jacksonville OPC, and Tallahassee HCC locations.
• Interventional Radiology - Interventional Radiology (IR) consists of performing minimally invasive diagnostic and therapeutic procedures using image-guidance to treat a broad range of diseases and other conditions. These procedures involve a collaborative effort of ultrasound (US), computed tomography (CT), and/or fluoroscopy in order to achieve a high standard of care for our Veterans. Some services include, but are certainly not limited to: Percutaneous Nephrostomy Tube Placement (PCN); Transjugular Intrahepatic Portosystemic Shunt (TIPS); Chemoembolization;  and Radiofrequency Ablation.

Research

Diagnostic Imaging is involved in a variety of cutting-edge research projects including dual energy CT (DECT), artificial intelligence use in low-dose CT scans, cardiac myocardial perfusion imaging with coronary flow reserve, and new radiopharmaceutical trials for myocardial perfusion imaging.

Sites and Contact Information

Malcom Randall VAMC,  or

All modalities and services including Interventional Radiology

Lake City VAMC, -2114

X-ray, CT, MRI, Nuclear Medicine, US, Joint Injections, GI Studies

Gainesville Primary Care VA Clinic,

X-ray, CT, MRI

Tallahassee HCC, 

X-ray, CT, MRI, DXA, US, GI Studies

Jacksonville OPC, Jefferson St, -6297

X-ray, CT, MRI, DXA, US, Joint Injections, GI Studies, Nuclear Medicine

The Villages OPC, -5170

X-ray, MRI, CT, DXA, US, Joint Injections

Disclaimer: Several links within this page will take you to non-VA websites and is provided for convenience only.  VA does not endorse and is not responsible for the content of the sites to which you will be taken.

If you’re returning from military service, we can help you readjust to civilian life and get started with VA health care. We can also help connect you with programs like mental health services and education and career counseling.

We can help you readjust to civilian life if you’re returning from military service, on active duty, or an activated National Guard or Reserve member. Talk to one of our care coordinators about how to best use your health care benefits.

• Polytrauma care (if you have multiple traumatic injuries)
• Counseling and rehabilitation
• Mental and behavioral health services
• Family benefits counseling and assistance
• Referral assistance

Learn more and connect with a coordinator

The sleep medicine service diagnoses and treats your sleep problems, including trouble sleeping, breathing difficulties while sleeping, snoring, teeth grinding and jaw clenching.

At various points in our lives, all of us suffer from a lack of sleep. But, if you are spending enough time in bed and still wake up tired or feel very sleepy during the day, you may have a sleep disorder. We can help. Our sleep specialists can:

• Diagnose and treat sleep apnea and other sleep disorders
• Monitor your blood oxygen levels and heart rate
• Study your brain waves during sleep
• Evaluate possible causes for your excessive sleepiness
• Conduct sleep tests performed at home or in the lab
• Work with your doctors if you need surgery or dental appliances to help you get a good night’s sleep

If you are having surgery, we make sure that your procedure and follow-up care are safe and high-quality.

We provide a wide range of surgical services, like:

• General surgery
• Anesthesia
• Cardiac surgery (heart and major blood vessels)
• Neurosurgery (brain, spinal column, and nerves)
• Orthopedic surgery (bones, muscles, ligaments, joints, and tendons)

We use the latest in secure digital technology to set up remote visits with our health care providers. We offer video conferencing, home telehealth services, and store-and-forward telehealth that lets you securely send your health information to experts at VA facilities. We offer telehealth visits with providers in:

• Mental health
• Retinal care (eye)
• Bariatric surgery (visit remotely with your weight-loss surgery team before and after your operation)
• Dermatology
• Rehabilitation
• Primary care

Learn more about telehealth

All Veterans enrolled in VA health care can receive a toxic exposure screening at an upcoming appointment or sooner by contacting a Toxic Exposure Screening Navigator. All enrolled Veterans should receive the screening at least once every five years.

Learn more about Toxic Exposure Screening.

Our whole health approach empowers and equips you to take charge of your health, well-being, and quality of  life. Whole health goes beyond your illnesses, injuries, or disabilities, and focuses instead on your values, goals, and overall health. It includes self-care and complementary therapies along with conventional medical care. Our whole health program includes:

• Acupuncture to help you manage pain without drugs
• Meditation and mindfulness training
• Yoga, tai chi, and qi gong classes
• Massage and manual therapy
• and much more.

Learn more about Whole Health at https://www.va.gov/north-florida-health-care/programs/whole-health