Health services

The registered nurses on our Nurse Advice Line also known as Nurse Triage 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

Acupuncture is one of several techniques that make up the system of care provided by those trained in traditional medicine from China and other Asian countries. Acupuncture may refer to this whole system approach to healthcare or define the technique of acupuncture treatment. Most frequently we think of acupuncture as the penetration of thin needles into the body at acupuncture points to effect a change. Acupuncture is used to restore or maintain health.

Acupuncture is one of the complementary and integrative health (CIH) approaches within the VHA Whole Health System of care included in VHA Directive 1137 – Provision of Complementary and Integrative Health, published in May 2017. This allows acupuncture care to be covered by the Veteran’s medical benefits package, when clinically necessary, as determined by the patient’s care team. In February 2018 a Qualification Standard was published that permitted licensed acupuncturists to be hired to provide acupuncture care at VA Medical Centers (VAMC).

Most frequently acupuncture is used for pain, although many other conditions may respond well to acupuncture. Evidence informed clinical decision-making is recommended. Subject matter experts have developed guidance for both internal and external provision of acupuncture care.

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 VA long-term care

Our gynecologists focus on the female reproductive system and provide services that include:

• Mammograms for breast cancer, screenings for sexually transmitted disease, and Pap tests for cervical cancer
• Counseling and treatment for contraception, pregnancy, and infertility
• Osteoporosis screening for brittle bones
• Exams for abnormal uterine bleeding, pelvic pain, or various cancers
• Primary care checkups

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

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

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 and connect with a care coordinator

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 and connect with a care coordinator

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

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

• COVID-19 vaccines for eligible Veterans and staff
• COVID-19 boosters for eligible Veterans and staff

Learn more about COVID-19 vaccines at VA

COVID-19 Testing

An appointment is required before COVID-19 testing at White River Junction VA. If you are concerned or have questions about:

• COVID-19 symptoms
• Testing
• COVID-19 exposures
• General questions regarding COVID-19

Please call any time. If you feel you need immediate attention, please go to the Emergency Department.

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)

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 many medical and support services to help you manage your diabetes, like:

• Self-management, education, and support classes
• Insulin therapy and blood-glucose meter training
• Diabetes survival skills that include sick-day management, lifestyle changes, nutrition advice, and cooking classes

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. 

Infectious Disease services are limited at some locations. Please contact the clinic for schedule availability. 

Infectious diseases are conditions brought about by different organisms such as  bacteria, viruses, fungi, and parasites. These can be transmitted a variety of ways including person to person, from exposures to food, animals, surfaces, or other exposures in the environment. 

Examples of infectious diseases include the flu, staph infections, strep throat, chicken pox, measles, HIV, COVID-19, as well as many others.

While many infectious diseases can be effectively managed by your primary care provider, there are instances where the help of an infectious disease specialists becomes crucial. These experts provide a deep understanding of the intricate interactions between these organisms and the human body’s immune responses. 

When faced with complex cases, new or rare infections, the expertise of infectious disease specialists becomes invaluable. Infectious diseases specialists are known for their medical detective work in diagnosis and treatment planning, as well as collaboration with other physicians and health care providers to ensure a comprehensive and successful approach to these medical problems.

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 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
• Management/evaluation of hypertension and resistant hypertension management
• Management/evaluation of CKD 2-5
• Kidney stone management/evaluation
• Evaluation/management of electrolyte disturbances
• Kidney transplant evaluation, and kidney disease education

To obtain specialty nephrology services contact your primary care provider. They refer you to us. Once referred, our scheduler will contact you to schedule an appointment.

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

We offer comprehensive evaluation, diagnosis, and treatment for eye-related illnesses, injuries, and other issues. Our ophthalmology services include:

• Medical care for glaucoma, eye infections, and other conditions
• Surgery for cataracts, traumatic eye injuries, and other problems
• Treatment for eye conditions related to illnesses like diabetes or arthritis
• Plastic surgery to repair droopy eyelids, clear blocked tear ducts, and perform eyelid and facial reconstruction (oculoplastics)

We use surgical and nonsurgical means to treat illnesses and disorders of the musculoskeletal system, which includes your bones, muscles, joints, cartilage, tendons, ligaments, and other connective tissue. We treat conditions like:

• Musculoskeletal trauma
• Degenerative illnesses
• Sports injuries

We evaluate, diagnose, and treat a wide range of ear, nose, and throat conditions, like:

• Nasal and sinus problems
• Obstructive sleep apnea
• Throat, lymph node, thyroid, and parathyroid tumors and other conditions
• Voice and swallowing disorders
• Cochlear implants

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

Our palliative 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.  Our palliative 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

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

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
• Minimally invasive surgery and post-surgical rehabilitation
• Foot health maintenance procedures (bunion removal, resurfacing, and nail trimming)

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

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)

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

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.

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

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

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 and connect with a support coordinator

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

We promote the health, welfare, and dignity of lesbian, gay, bisexual, and transgender (LGBTQ+) Veterans and their families. 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-confirming surgeries and hormone therapy

Learn more and connect with a care coordinator

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 and connect with a care coordinator

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

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

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

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 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 vocational rehabilitation