Seattle VA Medical Center

We help Veterans on their recovery journey through outpatient and inpatient services. Care is provided by a team of psychologists, social workers, psychiatrists, nurse practitioners, chaplains, and/or addiction therapists. Quitting substances is not required to get support.   We provide the following recovery related services:

• Inpatient/outpatient detoxification services
• Care coordination
• Evening (Seattle and American Lake) and weekend hours (Seattle only)
• Gender-inclusive and gender-specific treatment options
• Washington state approved treatment (for satisfying legal requirements)
• Drug and alcohol monitoring
• Evidence-based therapies - substance use and mental health concerns
  psychiatric care
• FDA-approved medications treating: opiate, alcohol, and tobacco use disorders (including methadone and buprenorphine)
• Overdose prevention education and kit 
• Opportunities to participate in research studies

Referrals can be made for housing resources, finances, mental health, chronic pain, medical/physical health, quitting tobacco, and residential treatment.  Please note that most therapy is provided in a group format.  If you have not already done so, please confirm eligibility for health care services at the VA Medical Center. Call 1-800-329-8387 x76542

Learn more about our mental health care services and connect with a care coordinator

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.

If you are having a medical emergency, call 911.

Our clinics do not provide urgent care, but our nurse advice line can guide you in getting the care you need.

Our nurse advice line can also:

• 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

Contact the advice nurse by selecting option 4 at either 800-329-8387 or 206-762-1010

We diagnose, evaluate, and treat your asthma, allergies, and non-HIV immune deficiencies. Our services include:

• Skin tests, blood tests, and other exams to identify food, drug, insect, pollen, animal, dust, and other allergies
• Prescribing and managing allergy medications that can ease your symptoms by reducing your immune system response to the things that cause your allergic reaction
• Performing asthma tests to measure lung function and see how much air moves in and out as you breathe
• Prescribing long-term and quick-relief asthma medications to reduce inflammation and open your swollen airways
• Specialized treatments for your immune deficiency disorders

If you’ve had a major limb removed, our specialists can create a health care plan to help you to live independently. Our support services include:

• Physical, occupational, and recreational therapy
• Nutrition, wellness, and mental health counseling
• Prosthetic support to help you choose your artificial limb and use it effectively
• Limb loss education and training to help you with daily living, like coping techniques, mobility tips, driving skills, and scar care
• Medical and surgical consultations with other specialties

Learn more about our health and wellness programs for health education and support

Learn more about the VA amputation system of care

Our specially trained doctors, called anesthesiologists, can help with your care before, during, and after surgery. They will develop a plan for your care and safety, provide medicine to keep you comfortable during your operation, and help you manage your pain after surgery. Our services include:

• General anesthesia (intravenous drugs, inhaled gasses, or some combination) to keep you pain-free and in a sleep-like state during surgery or other medical procedures
• Regional anesthesia (injecting numbing drugs around nerves) to control pain in specific parts of your body during or after surgery
• Monitoring your breathing and vital body functions while you’re under anesthesia
• Working with the rest of your care team to manage your pain medications after your operation
• Coordinating care with your other health care professionals to facilitate a smooth transition from hospital to home

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)

Hearing aid repairs are by appointment only.

Learn more about VA hearing aids

Bariatric surgery, also called weight-loss surgery, reduces the size of your stomach and small intestine to limit the amount of food you can eat or absorb. Bariatric surgery can be done in several ways, like:

• Gastric bypass, which shrinks your stomach size and re-routes your digestive system, so you don’t absorb as much food
• Sleeve gastrectomy, which removes part of your stomach, leaving only a slender “sleeve” that holds less food

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

For COVID-19 vaccine information, visit the VA-wide COVID-19 vaccines web page

For current masking requirements and visitation restrictions, see VA Puget Sound's policies web page

If you're diagnosed with cancer, our team will work with you, your primary care doctor, and other health care providers to develop a specialized treatment plan. We offer personal, compassionate, and expert care, with services like:

• Surgical removal of tumors and other cancerous tissue
• Immunotherapy, which helps your body's natural defenses destroy cancer cells
• Chemotherapy, which uses powerful drugs to fight cancer
• Radiotherapy, which uses high-energy radiation to kill cancer cells and shrink tumors
• Palliative care, to reduce pain and control other symptoms and side effects, like nausea

Learn more about our health and wellness programs for health education and support

We perform noninvasive and minimally invasive tests and procedures that check, support, and improve your heart health. We'll work with you to develop a personalized treatment plan and treat you with the most effective medications. Our services include:

• Evaluating you for coronary heart disease, heart-valve disease, and heart defects
• Determining how well blood flows through your heart vessels or find the cause of your heart failure
• Treating your heart vessels with nonsurgical or minimally invasive operations that open and support them through balloon angioplasty or stent placement
• Noninvasively monitoring you for changes in heart rhythm, using electrocardiograms (EKGs or ECGs), portable Holt monitors, or ultrasound
• Performing surgical treatments like pacemaker implants or cardiac catheterization (inserting a long, thin tube into an artery or vein)

Our cardiovascular surgeons diagnose and surgically treat medical conditions that affect your heart and blood vessels. Our procedures include:

• Coronary bypass surgery to redirect blood around a section of blocked artery in your heart
• Heart valve surgery to repair or replace a damaged valve in your heart
• Vascular surgery to repair veins, improve blood flow, and treat other diseases and disorders that affect your arteries, veins, and lymphatic system
• Coronary angioplasty and stent placement to open blocked or narrowed arteries that carry blood to your heart
• Pacemaker implant or cardiac ablation to correct abnormal heart rhythm

If you're a caregiver for a Veteran, you can get support by contacting one of our caregiver support coordinators. If the Veteran you care for was injured post-9/11, you may be eligible for even more services, including a stipend to help with expenses, training, and medical coverage if you aren't already covered. For all caregivers, we can:

• Help you get caregiver assistance available through VA
• Provide progressive needs planning to help you manage degenerative conditions
• Match you with services and benefits
• Connect you with local resources and programs
• Listen to you when you struggle

Learn more about our health and wellness programs for caregiver support

Learn more and connect with a support coordinator

Chiropractic care restores, improves, and maintains your function, activity, and health. We work with your primary care doctor and other specialty care providers to provide a complete health care plan for you. We offer many treatments, like:

• Spinal manipulative therapy to relieve pressure on your joints, reduce inflammation, and improve nerve function
• Electrical stimulation therapy, which reduces pain by sending mild electrical pulses through your skin to help stimulate injured muscles or manipulate nerves
• Soft-tissue mobilization, which uses gentle pressure or massage to relax tense muscles, reduce scar tissue, or stretch connective tissue

We diagnose and treat disorders of the colon, rectum, and anus. Our surgeons work closely with doctors in gastroenterology, oncology, urology, and other specialties to make sure you receive comprehensive and personalized care. We can help you with conditions like:

• Colon and rectal cancer
• Colon polyps (growths on the lining of your colon or large intestine)
• Inflammatory bowel diseases like Crohn’s disease and ulcerative colitis
• Diverticulitis (inflammation of pouches that can form in your intestines)
• Anal problems like hemorrhoids, fissures (small tears in the lining of your anus), and fistula (infected tunnels between your skin and your anus)

We use complementary medicine along with standard medical treatments, like using acupuncture to help lessen the side effects of chemotherapy. We also provide alternative medicine instead of traditional medical treatments, like using herbs rather than prescription drugs to treat cancer. We offer treatments, like:

• Natural products and special diets
• Deep breathing, meditation, and yoga
• Acupuncture and acupressure

Learn more about our health and wellness programs for health education and support

Doctors in our intensive care units (ICUs) treat patients with serious illnesses or injuries, such as life-threatening infections, severe burns, brain injuries, and organ failure. Our critical care doctors (called intensivists) and nurses provide you with a full range of services, like:

• Monitor your heart rate, blood pressure, and breathing with cardiac and oxygen telemetry
• Help your lungs work using a mechanical ventilator
• Provide nutrition through a feeding tube in your vein, nose or mouth
• Drain urine from your bladder using a catheter
• Give fluids and medicine through your vein using an IV pump
• Help prevent blood clots in your legs by using inflatable compression wraps and boots

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 provide care for many medical and surgical skin conditions. Our dermatology services include:

• Medically necessary treatments for skin conditions like skin cancer and rashes
• Specialized treatments for acute (short-term) and chronic (long-lasting) skin conditions, like psoriasis, eczema, warts, and fungal illnesses
• Evaluation, biopsy, and treatment of cancerous or pre-cancerous skin conditions, like abnormal moles and lesions.
• Referrals for complex conditions
• Teledermatology (a telehealth resource), which gives patients quick access to expert opinions

We offer treatment for type 1 and 2 diabetes. We work with you, your family and caregivers to help you live a healthier life through treatment, monitoring, diet and education.

Learn more about our health and wellness programs for education and support

We provide emergency medical care 24 hours a day, every day. Our emergency room staff can help you with:

• Life-threatening illnesses and injuries that require immediate attention
• Urgent medical issues that must be treated right away
• Urgent psychiatric care

For urgent care weekdays, weekends, evenings, and holidays use our detailed step-by-step guide

We diagnose and treat hormone imbalances and other endocrine system problems that can create or complicate serious medical conditions like diabetes, obesity, and thyroid or parathyroid disorders. Our endocrinologists can:

• Measure the level of various hormones in your body
• Measure your blood glucose level
• Determine the cause and proper treatment of endocrine and metabolic disorders

We diagnose and treat medical conditions in your esophagus, stomach, intestines, colon, and other parts of your digestive system. We can also test and treat other organs, like your liver, pancreas, and gallbladder. Our gastroenterology department provides services like:

• Colonoscopy, esophagogastroduodenoscopy (EGD), and endoscopic retrograde cholangiopancreatography (ERCP), which use an endoscope (a long, flexible tube with a small camera on the end) that lets us examine your digestive system
• Endoscopic ultrasound, which uses high-frequency sound waves to create images that help us diagnose and evaluate digestive and lung diseases
• Manometry study, which tests how well your esophagus is working
• Small bowel capsule endoscopy, which uses a tiny wireless camera that takes pictures as it moves through your digestive system
• 24-hour pH study, which measures how much stomach acid is flowing into your esophagus and helps us assess conditions like severe heartburn and acid reflux

We assess your situation and condition to decide which outpatient geriatric services are right for you or a senior Veteran in your care, and then we coordinate your care. Our team of specialists provides geriatric services that include:

• Medicine and nursing
• Psychology, psychiatry, and social work
• Physical and occupational therapy

Learn more about our health and wellness programs for healthy aging

Learn more about VA long-term care

Our gynecologists evaluate, diagnose, and treat a wide range of conditions including pelvic pain, heavy periods, growths on your uterus or ovaries, abnormal pap smear, infertility, and more. 

We provide you with advanced medical care, surgery, and minimally invasive procedures for health issues that affect the uterus, ovaries, cervix, vagina, or bladder. 

We offer a range of hematology and oncology services. You can arrange appointments and consultation through your primary care provider. Our hematology and oncology services include:

• Chemotherapy
• Blood and platelet transfusions
• Mediport flushes to clean and maintain the small medical appliance inserted under your skin, making it easier to inject drugs and draw blood
• Evaluation and treatment of blood disorders and cancer
• Dedicated outpatient infusion center, working closely with radiation oncology, interventional radiology, general surgery, diagnostics, palliative care, and social services
• Bone marrow biopsies, to see whether your bone tissue is healthy and making a normal number of blood cells

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

We test for, evaluate, and treat many infectious diseases. We offer:

• Testing and screening for hepatitis C, HIV/AIDS, tuberculosis, and other infectious diseases
• Prevention strategies and treatment
• Compassionate care and counseling for people who are living with infectious diseases

Our internists are primary-care doctors who treat adults for a wide range of health issues. Our internists can:

• Perform checkups for annual, employee, and sports physical exams
• Order blood work and lab services
• Prescribe and manage your medicine
• Provide preventative care, like tips on diet, exercise, and healthy living
• Treat you when you’re sick or follow up with you after your hospital stay
• Refer you to specialists

We promote the health, welfare, and dignity of Veterans who identify as lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+) or a related identity. We focus on ensuring a safe, welcoming, and affirmative environment when providing you with sensitive and high-quality health care services like:

• Hormone therapy
• Substance use and alcohol treatment
• Testing and treatment for HIV and sexually transmitted infections (STI)
• Mental health care
• Psychosocial assessments for gender-affirming surgeries and hormone therapy

Learn more about our health and wellness programs for LGBTQ+

Learn more and connect with a care coordinator

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

• Study of blood, urine, and other bodily fluids for illness management
• Testing for infectious diseases
• Cytopathology (study of unusual cells) and surgical pathology (study of tissue removed during surgery)
• Autopsy services

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:

• Psychiatric disorders such as schizophrenia, bipolar disorder, and depression
• Marriage and relationship problems
• Post-traumatic stress disorder (PTSD)
• Anxiety, addictive behaviors, and personality disorders
• Aggressive or self-harming behaviors

Learn more about our mental health care services and connect with a care coordinator

We offer care for military sexual trauma in our mental (behavioral) health clinics. Military sexual trauma refers to sexual assault, sexual harassment, or other threatening, offensive, or unwanted sexual advances, activities, or remarks that you experienced in the military. Our goal is to help you improve your quality of life with strategies to manage emotions and memories related to your military sexual trauma. Our services include:

• Counseling
• Psychiatric care
• Walk-in care

Learn more about military sexual trauma

If you're a minority Veteran, we can help you get the services and benefits you need. Our Minority Veterans Program serves all Veterans who are Black American, Asian American, Hispanic American, and Native American (including American Indians, Alaska Natives, Native Hawaiians, and Pacific Island Americans). We work to:

• Help the medical center address minority Veterans' needs
• Meet minority Veterans' needs in the local community
• Identify barriers and create a more accessible environment for minority Veterans
• Inform minority Veterans of VA benefits, services, and programs

Learn more about our minority Veteran care program

My HealtheVet is a web-based tool you can use to manage your care and improve your health from your computer or mobile device. You can access your personal health records and use tools to manage your care through our My HealtheVet online system. You can also use My HealtheVet to refill your prescriptions, track appointments, and read informative health articles. If you need help using My HealtheVet, you can contact our coordinator by phone or in person. With My HealtheVet, you can:

• Ask questions and exchange secure online messages with your VA health care team
• Check your lab and test results
• Refill your prescriptions, track delivery, and view a list of your medications
• Keep track of your VA medical appointments and get email reminders
• View, download, or print a copy of your VA medical records
• Enter or update your personal information

Learn more and register for My HealtheVet

Our team of kidney doctors (nephrologists) actively manage all aspects of adult kidney disease, kidney and bladder stones, renal hypertension (high blood pressure caused by kidney disease), and mineral and bone disorders. We provide inpatient and outpatient services, like:

• Dialysis preparation and referral
• Home patient monitoring
• Kidney transplant evaluation
• Kidney disease education

We provide inpatient and outpatient services for chronic diseases and disorders that affect your brain, spine, and the nerves that connect them. Our neurologists read electroencephalogram (EEG) recordings, which measure the electrical impulses brain cells use to communicate with each other. We evaluate and treat many neurological illnesses and disorders such as:

• Neuropathy (nerve damage), myelopathy and other spinal cord injuries, and radiculopathy (pinched nerves)
• Parkinson's disease, epilepsy, and multiple sclerosis
• Stroke, dementia, and degenerative diseases
• Other neurological conditions

Although many people think of neurosurgery as brain surgery, it’s much more. Our neurosurgeons diagnose and treat a wide range of conditions related to your nervous system, like:

• Brain, spinal cord, and spinal column injuries, illnesses, and disorders
• Brain and spinal tumors
• Neck pain and sciatica (nerve pain in your lower back hip, or leg)
• Herniated disks and degenerative illnesses of the spine

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 ophthalmology specialists diagnose and provide medical and surgical care for conditions that affect your eyes—like cataracts, glaucoma, macular degeneration and diabetic retinopathy.

Our optometrists offer you routine eye exams, preventive vision testing and treatment for conditions like glaucoma. We also provide prescriptions for eyeglasses and other assistive devices.

Our orthopedists offer advanced care and treatment for issues related to muscles, bones and joints, including arthritis, disorders of the muscles and bones, tendon and ligament repair and joint replacement.

We provide a full range of care for Veterans who have problems that affect their ears, sinuses, adenoids, tonsils and thyroid.

Our outpatient surgery, also called ambulatory or day surgery, allows you to get the care you need without staying overnight at our hospital. Our surgeons provide many outpatient services like:

• Gastric bypass surgery to help you lose weight
• Cataract surgery to replace your cloudy eye lens with a clear artificial lens
• Lumpectomy to remove cancerous and noncancerous breast tumors
• Colonoscopy to examine your large intestine (colon), the end of your small intestine (ileum), and your rectum
• Tendon, muscle, and small joint repair for conditions like hernia, arthritis, and rotator cuff (shoulder) injury
• Laparoscopic gallbladder surgery (cholecystectomy) to remove your gallbladder and gallstones through small cuts in your abdomen

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 problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault. It's normal to have upsetting memories, feel on edge, or have trouble sleeping after this type of event. If symptoms last more than a few months, it may be PTSD. We can help you with effective treatments and support services, like:

• Psychiatric and psychological counseling
• Services for Veterans who are homeless
• Treatment for addictive disorders
• Transition and care management for post-9/11 combat Veterans of Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND)

Learn more about PTSD

Acute (short-term) or chronic (long-lasting) pain can make it hard to enjoy life, but effective pain management can help. Our experts work with you, your primary care physician, and other specialists to create a plan to help you manage your pain and improve your quality of life. Our services include:

• Chiropractic care to relieve pain without medication
• Prescribing and supervising your use of medications
• Teaching you skills that include meditation, mindfulness training, relaxation, yoga, and tai chi to help you manage your pain
• Providing physical therapy, acupuncture, massage, biofeedback, and other compatible therapies

Learn more about our health and wellness programs for education and support

Our palliative and hospice care services support you and your family as you cope with a life-threatening or terminal illness. Palliative care works to provide comfort, reduce suffering, and improve the quality of life for patients being treated for serious illnesses. Hospice care focuses on helping patients with terminal illnesses to manage the final stages of their lives. Our palliative and hospice care services include:

• Pain and symptom management
• Emotional, spiritual, and psychosocial support for you and your family
• Help with practical issues that include an advance directive (living will), health care power of attorney, funeral arrangements, and applying for VA death and burial benefits
• Education to help you and your family make informed health care decisions and know what to expect as your health declines
• Bereavement care to help surviving family members during the grieving process

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

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.

If you’re living with or recovering from an injury, illness, or chronic condition that limits your mobility and independence, we can help. Our physical, occupational, and movement therapists combine therapeutic exercise, counseling, education, and training to help you improve your health and quality of life. Our services include:

• Pain relief and joint mobilization
• Movement and exercise therapies to improve your strength, endurance, balance, and coordination
• Mobility assessment and training with wheelchairs, scooters, and walking devices
• Life skills training and activities to help you maintain the highest level of independence and functionality
• Aquatic therapy to manage chronic pain
• Evaluation and treatment for a wide range of medical, orthopedic, psychosocial, and neurological conditions

Plastic and reconstructive surgery can restore function and appearance after damage from disease, burns, traumatic injuries, congenital and developmental conditions and other causes.

Our plastic and reconstructive surgeons perform surgery to improve body function, or correct facial and body abnormalities caused by birth defects, injury, disease, or aging. We also perform cosmetic surgery to create a more normal appearance and improve self-esteem. Our services include:

• Surgical repair of congenital deformities such as cleft lips and palates
• Skin cancer surgery to remove malignant moles, lesions, and tumors from your skin
• Breast reduction and reconstruction surgery
• Skin grafts to treat burns, injuries, or illnesses, which involves removing skin from one part of your body and grafting it to another
• Nasal reconstruction surgery to change the shape of your nose

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.

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.

Our specialized rehabilitation program network serves severely injured Veterans and service members who have multiple combat- or civilian-related traumatic injuries. We offer:

• Physical, visual, and cognitive rehabilitation
• State-of-the-art prosthetics
• Psychological and psychosocial services
• Ongoing case management services

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
• women's health care
• Radiology
• Social services
• Telehealth

For urgent care weekdays, weekends, evenings, and holidays use our detailed step-by-step guide

We provide and help you use medical aids, hearing aids, state-of-the-art adaptive home equipment and other equipment to help you preserve and increase your mobility and independence.

VA is the world’s largest and most comprehensive provider of sensory aides and prosthetic devices. Veterans enrolled in the VA health care system and referred by a physical medicine and rehabilitation physician can receive a full range of services and equipment like:

• Artificial limbs and surgical implants, including artificial joints and pacemakers
• Wheelchairs and other medical devices
• Aids for Veterans who are blind, have low vision, or are hearing impaired
• Adaptive equipment and modifications to make your vehicle or home more accessible
• Other devices and services to help increase your mobility, dignity, and independence
• Clothing allowance for Veterans with devices that damage their clothing

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

Learn more about our mental health care services and connect with a care coordinator

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.

Our psychology teams offer consultation, evaluation, and treatment to help with a range of mental and behavioral health problems like:

• 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

Learn more about our mental health care services and connect with a care coordinator

Our pulmonary medicine team treats diseases and conditions that affect the lungs and breathing, including asthma, tuberculosis, chronic obstructive pulmonary disease, acute respiratory distress syndrome and sleep apnea.

If you find it difficult to breathe or sleep, our pulmonary (lung) specialists can help. We offer education, exercises, and treatments like:

• Oxygen therapy to help you stay active and breathe better
• Pulmonary rehabilitation to build your strength and increase lung capacity
• Healthy diets to help you manage your weight and improve energy
• Strategies to help you increase your feelings of control, optimism, and self-esteem
• Tests to measure your lung function, lung volume, and blood gas

The radiation oncology service works with your health care team to target cancer safely and precisely using radiation therapy.

Radiation oncologists specialize in using high-energy radiation to kill or damage cancer cells and either destroy tumors or control their growth. Our doctors sometimes use radiation therapy in combination with surgery, chemotherapy, or other cancer treatments. The radiation therapy you receive will depend on cancer type, tumor size and location, and your general health. Our services include:

• Intensity modulated radiation therapy (IMRT), which uses computers to deliver precise radiation doses that match the 3D shape of your tumor
• Intracranial stereotactic radiosurgery (SRS), which uses targeted radiation to treat a brain tumor or lesion while minimizing radiation effects on healthy brain tissue
• Stereotactic body radiation therapy (SBRT), which uses precisely focused radiation to treat tumors in your lungs, spine, liver, lymph nodes, or other soft tissues
• Low-dose rate definitive and salvage brachytherapy, which use low doses of radiation to treat prostrate cancer
• Image-guided radiation therapy (IGRT), which uses detailed images to help focus radiation on affected areas, improve outcomes, and shorten treatment

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

• X-ray
• Ultrasound
• Mammography (mammograms)
• Computer tomography (CT)
• Positron emission tomography (PET)
• Magnetic resonance imaging (MRI)

If you were exposed to toxic chemicals or other hazards during your military service, we offer you a free exam. This exam helps you identify potential health risks and helps us monitor issues so we can better serve you.

This free, voluntary, and comprehensive health exam involves an exposure and medical history, laboratory tests, and a physical exam. We will discuss your results in a face-to-face meeting and follow up with a letter. The registry evaluation, which does not verify exposure, is separate from VA’s disability compensation process. You may be eligible to participate in one or more of these health registries if you served during these time periods:

• Ionizing radiation (1940s to 1960s)
• Agent Orange (1960s and 1970s)
• Airborne hazards and open burn pit (1990s to present)
• Gulf War (1990s to present)
• Depleted uranium (DU) (1990s to present)
• Toxic embedded fragments/shrapnel (2000s to present)

Learn more about VA Health Registry

We provide long-term care to help you and your family when you're dealing with a disability, chronic (long-lasting) illness, terminal illness, or serious health issues related to aging. Our long-term health care services include:

• 24/7 nursing and medical care
• Physical therapy
• Help with daily tasks like bathing, dressing, making meals, and taking medicine
• Pain management and palliative care to relieve suffering and improve quality of life for people with serious illnesses
• Hospice care to provide comfort and compassionate care for people in the last phases of an incurable illness
• To learn more about the different types of extended care that VA provides, see our guide to long-term services and support.

Learn more about VA long-term care

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

Care we provide at VA Puget Sound health care

Our doctors treat inflammation, stiffness, or pain in your muscles, joints, and tendons. Common rheumatic illnesses include:

• Juvenile idiopathic and infectious arthritis
• Osteoarthritis and rheumatoid arthritis
• Lupus, gout, and scleroderma

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

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

Learn more about our health and wellness programs for sleep improvement

If you are trying to quit smoking or want to stop using tobacco, we can help you with support, resources and programs.

You can quit smoking or chewing tobacco. Our goal is to provide support and strategies to add to optional nicotine replacement therapy prescribed by your primary care doctor. These include:

• FDA-approved medications to manage nicotine withdrawal and the urge to smoke.
• Counseling in person or by phone
• Tobacco Cessation Quitline for individual counseling and strategies
• SmokefreeVET text message program for daily advice and interactive support
• Stay Quit Coach mobile app to help you quit smoking and stay smoke-free

Learn more about our health and wellness programs for smoking and tobacco cessation

Learn more about how to quit

Social work is integral to health care. We can help you and your family manage stress-related problems due to injury or illness, and find VA community resources to meet your needs like:

• Home health services
• Legal services
• Transportation
• Community living

If you have a spinal cord injury or disorder, our specialists provide coordinated care throughout your life. We work to help you achieve your goals for independence, productivity and quality of life.

VA Puget Sound offers acute rehabilitation services and lifelong care to Veterans with traumatic and non-traumatic spinal cord injury and disorders (SCI/D).  Our staff are specialty-trained to provide the following:

• Rehabilitation care for new SCI/D
• Management and prevention of SCI/D complications, including lung, skin, sexual, bowel, and bladder changes
• Primary care for Veterans with SCI/D

Learn more about VA Puget Sound's spinal cord health service

Why choose VA's spinal cord injuries and disorders for care?

We work with behavioral health providers and community organizations to help you and your family during times of crisis. We offer:

• Suicide prevention care coordinators
• Suicide prevention case managers
• Gun safety locks

Learn more and connect with a care coordinator

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)
• Organ and tissue transplants

If your cancer requires surgery, the surgical oncology service works with your health care team to give expert diagnosis and treatment.

Our surgical oncologists are specially trained to treat many different cancers, like liver, pancreatic, gastric (stomach), colon (intestinal), and rectal cancers. They can:

• Diagnose your cancer after taking a small tissue sample (biopsy) 
• Stage your cancer by determining the tumor size and if it has spread (metastasized) to other parts of your body
• Treat your cancer by removing and reducing tumors or other diseased tissues
• Perform palliative surgery to help control your pain and manage side effects from other treatments, like chemotherapy or radiation therapy

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

We perform chest surgery (also known as thoracic surgery) to treats conditions involving your chest, airway and esophagus.

Our thoracic surgeons provide state-of-the-art surgical techniques and cancer therapies that focus on your lungs and other organs of the chest. Many of our thoracic treatments also address problems with your esophagus (the tube that connects your mouth and stomach), your trachea (airway), and your chest wall (rib cage and breastbone). We treat a variety of conditions that include:

• Lung cancer and cancer of the esophagus
• Benign chest and lung tumors
• Pleural illnesses, like pneumothorax (collapsed lung) and infections of the pleura (the thin membrane that lines the chest wall and covers the lungs)
• Achalasia, which occurs when nerve damage prevents your esophagus from pushing food into your stomach)
• Gastroesophageal reflux disease, or acid reflux, which occurs when stomach acid frequently flows back into your esophagus and irritates the lining
• Diseases of the thymus, a small organ beneath your breastbone that produces cells that support your immune system and fight cancer

If you're traveling for VA-approved care, we can repay you for the cost of using regular transportation that includes cars, planes, trains, buses, taxis, rideshare, or light rail. You may also be eligible for repayment when using ambulances, wheelchair vans, or ambulettes (non-emergency medical transportation).

• Round-trip transportation services between your home and our hospital and clinics (beneficiary travel)
• Mileage reimbursement debit cards

Learn more about VA travel pay reimbursement

We evaluate, diagnose, and treat a wide range of urology diseases and conditions that include kidney stones, erectile dysfunction, urinary incontinence, prostate cancer, and more. We provide you with medical care, surgery, and minimally invasive procedures for health issues that affect:

• Kidneys
• Bladder
• Ureter and urethra
• Male reproductive organs

Our expert team diagnoses and treats diseases and conditions that affect arteries, veins and blood circulation.

Our vascular surgeons treat illnesses of your arteries and veins. Our surgeons can treat these problems with medication and exercise. Vascular illness causes include:

• Arteriosclerosis and/or atherosclerosis (caused by the buildup of plaque in your arteries that restricts blood flow to your organs and tissues)
• Aortic aneurysm and aortic valve disease
• Deep vein thrombosis and blockage by a blood clot or fatty deposit
• Varicose veins
• Vasculitis (inflammation of your blood vessels)
• Varicose veins
• Trauma or injury

We help Veterans with physical and mental health challenges find and keep jobs. We help you find jobs through our long-term partnerships with business, industry, and government agencies. We offer 3 services:

• Our transitional work program matches Veteran's skills with a specific job and provides supervision to help them gain work experience
• Our supported employment program provides long-term support for Veterans with serious mental illnesses or physical disabilities to help them compete for jobs in their communities
• Our vocational assistance program trains Veterans living at our residential facility to improve their job-search and career development skills

Learn more about VA compensated work therapy

We provide support and assistive devices, including wheelchairs, scooters, walkers and canes, to help you preserve and increase your mobility.

We train you in the proper use of your wheelchair or other mobility devices to increase your wellness and improve your quality of life. Our team works with you to:

• Optimize correct wheelchair seating and positioning
• Achieve maximum function and independence
• Promote good posture, breathing, digestion, and tissue health
• Prevent complications and additional injuries

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

Learn more about our health and wellness programs for education and support

Learn more about VA whole health

We offer women’s health services to meet your specific needs such as disease screenings, mental health treatment, recovery from military sexual trauma, maternity care and female-specific medical equipment.

Our women's health program offers complete health care for women Veterans of all ages. Our primary care providers specialize in women's health. They work closely with specialists in gynecology, obstetrics, female urology, oncology, medicine, radiology, surgery, and breast illness. Our services for women Veterans include:

• Ultrasounds, mammograms, Pap and HPV tests
• Mental health care and counseling
• Lifestyle wellness services
• Menopause treatment, including hormonal therapy
• Family planning, contraceptive care, and infertility evaluation

Learn more about our women Veteran care services

We provide thoughtful, compassionate diagnosis and treatment for Veterans with acute or chronic wounds or those who need ostomy care.

Healing your wounds is an important step in your recovery and rehabilitation. Our wound care team will assess your wound, determine where you are in the healing process, and provide a treatment plan for your care. If you’ve had ostomy surgery and are living with either a temporary or permanent stoma (a surgical opening to allow urine, feces, or body fluids to exit your body), we can help you manage the care of your stoma, make good product choices, and cope with the effects of ostomy surgery. We provide care and support for:

• Open, non-healing, and hard-to-heal wounds
• Localized incisions and infected or draining wounds
• Bedsores (also known as pressure ulcers or decubitus ulcers)
• Amputations
• Wounds or leaking seals around your stoma
• Skin rashes