Veterans For America » VFA Wounded Warrior Registry

November 6, 2007

VFA Wounded Warrior Registry

Filed under: Veterans for America — admin @ 9:34 am

Veterans for America works with servicemembers and veterans who have served in Iraq and Afghanistan to ensure that they are getting the treatment they need for psychological wounds and/or traumatic brain injuries. If a servicemember or veteran feels that they are not getting the help they need, we talk with their military commanders, or we work with the VA to get them help. We also work with Congress on a bipartisan basis to make sure that our national leaders realize the scope of the challenges our military is facing.

VFA has launched a new service to help wounded warriors. Below, you’ll find a form asking for basic information if you have been wounded in battle, and you feel like you’re not getting the help you need. Please fill it out, and someone from VFA will be in touch with you shortly to talk about what can be done to help.

Note that required fields are marked in red.

First Name:(required)
Middle Name:
Last Name:(required)

Contact Information

Email Address:(valid email required)
Mailing Address:(required)
Mailing Address (line 2):
City: (required)
State: (required)
Zip Code: (required)
Country:
Home Phone:
Cell Phone:

Military Service

Branch of Service:(required)
Years in Military:
Date of Discharge (if applicable):
Date and Place of Deployment(s):(required)
Rank:
MOS:
Unit:(required)
Base:

Medical Information

Diagnosis:(required)
Brief Summary of Your Situation:Battlefield experiences,treatment by commanders, treatment by medical personnel, etc.(required)
Names of Medical Professionals Seen:

Personal Information

Age:
Race:
Gender:(required)
Marital Status:
Number of Children:
Contact Info for Families (Parents) :

cforms contact form by delicious:days

4 Comments

[...] or someone you know, is an Iraq or Afghanistan veteran suffering from TBI or a psychological wound, please fill out our registry here so that we may help [...]

Pingback by Veterans For America » Veterans For America Releases Major Report: Trends In Treatment Of America’s Wounded Warriors. — November 12, 2007 @ 3:13 pm
[...] is is why we recently launched our Wounded Warrior Registry. The purpose of this registry is to reach out and help servicemembers and veterans get the care they [...]

Pingback by Veterans For America » Do You Know A Servicemember Or Veteran Who Needs Help Getting Help? — February 5, 2008 @ 7:43 am
[...] We are going to continue our Wounded Warrior Registry Outreach — if you or someone you know needs help getting help with PTSD or TBI, please click here. [...]

Pingback by Veterans For America » Fort Drum: The Tip of a Tragic Iceberg — February 14, 2008 @ 1:22 pm
[...] Warrior Outreach Program is, more than anything, the voice of these servicemembers. Through our Wounded Warrior Registry Program and visits to active military bases around the country, like Fort Drum we hear where we are failing [...]

Pingback by Veterans For America » OUR WOUNDED WARRIOR OUTREACH PROGRAM — April 3, 2008 @ 6:10 am

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