Veterans Health Screening & Assessment Form

Streamlined Veterans Health Screening with Paperform

Providing quality healthcare to veterans requires understanding their unique service history, exposure risks, and specialized needs. This Veterans Health Screening & Assessment Form template helps VA facilities, veteran service organizations, military health clinics, and healthcare providers serving veterans capture comprehensive health information in one accessible, HIPAA-friendly platform.

Why veterans healthcare needs specialized intake forms

Veterans face distinct health challenges shaped by their service—from combat-related injuries and PTSD to environmental exposures and transition-related stress. Traditional medical intake forms miss critical context about military service, deployment history, and VA benefits eligibility that directly impact treatment planning and care coordination.

This template addresses those gaps by combining:

• Military service history including branch, dates, deployments, and discharge status
• Combat and exposure screening for traumatic events, environmental hazards, and blast injuries
• PTSD and mental health assessments using validated screening questions
• VA benefits enrollment status and coordination needs
• Specialized care referral pathways for TBI, MST, substance use, and other veteran-specific concerns

How Paperform transforms veterans health screening

Professional, accessible design for all veterans
The doc-style editor lets you create forms that feel respectful and easy to navigate—not overwhelming. Mix explanatory text, resource links, and supportive messaging between questions to guide veterans through sensitive topics. Apply VA-aligned branding or your organization's colors to build trust and familiarity.

Conditional logic for personalized screening paths
Not every veteran needs every screening. Use Paperform's conditional logic to show PTSD questions only when combat exposure is indicated, reveal MST resources when relevant, or display VA enrollment questions only for those not currently registered. This keeps forms focused and reduces screening fatigue.

Secure data collection with audit trails
Veterans' health information demands the highest security standards. Paperform offers SOC 2 Type II compliance, encrypted submissions, and data residency controls to protect sensitive military and medical data. While Paperform is not HIPAA compliant, it provides enterprise-grade security suitable for initial screenings and VA benefits coordination.

Automated workflows with Stepper
After submission, use Stepper to automatically route high-risk screenings to crisis response teams, send welcome packets to newly enrolled veterans, create care coordination tasks in your EHR or CRM, and trigger follow-up appointments—all without manual data entry. Stepper's AI-native workflows help veteran services teams stay responsive even with limited staff.

Built-in scheduling for follow-up care
Add appointment booking fields directly to your screening form so veterans can schedule their intake appointment, mental health consultation, or benefits counseling session before they even submit. Sync with your team's calendar to eliminate phone tag and get veterans connected to care faster.

Who benefits from this veterans screening template

This form is designed for:

• VA medical centers and community clinics conducting intake assessments for new and returning patients
• Veteran service organizations (VSOs) helping veterans access benefits and healthcare
• Military transition assistance programs screening service members before discharge
• County veteran services offices coordinating local resources and VA enrollment
• Nonprofit healthcare providers serving veteran populations with tailored programs
• Mental health practices specializing in veteran trauma and PTSD treatment

Key features you can customize

• Service history section capturing branch, MOS/rating, deployment locations, and discharge status
• Exposure screening for Agent Orange, burn pits, radiation, asbestos, and other service-connected hazards
• PTSD screening questions based on PCL-5 or similar validated instruments
• Traumatic brain injury (TBI) assessment for blast exposure and concussion history
• Military sexual trauma (MST) screening with sensitive, trauma-informed language
• Substance use and pain screening relevant to veteran health patterns
• VA benefits enrollment status, interest in applying, and assistance needs
• Care coordination preferences for primary care, mental health, specialty services, and peer support

Extend your veteran services with Paperform's ecosystem

Connect to your care coordination tools
Push screening results directly into your VA systems, Salesforce for Nonprofits, veteran CRM, or Google Sheets. Use Stepper, Zapier, or native integrations to keep your case management workflows moving without duplicate data entry.

Gather eSignatures for VA forms with Papersign
Many veterans need to sign consent forms, VA enrollment paperwork, or release authorizations. Use Papersign to turn submissions into legally binding documents and collect secure eSignatures—keeping everything linked to the original screening for a complete audit trail.

AI Insights for program evaluation
Analyzing hundreds of veteran screenings manually is time-consuming. Paperform's AI Insights can summarize screening results, identify common exposure patterns, highlight urgent mental health needs, and generate reports for grant applications or VA contract reporting—helping you demonstrate impact and improve services.

Building trust through better veteran intake

Veterans have often navigated complex bureaucracies and impersonal systems. A thoughtful, well-designed screening form signals that your organization understands their service and respects their time. With Paperform, you can create intake experiences that feel human, reduce administrative burden on staff, and get veterans connected to the right care and benefits faster.

Whether you're enrolling veterans in VA healthcare, screening for service-connected conditions, coordinating mental health services, or helping veterans access earned benefits, this template gives you a flexible, secure foundation that works for your team and the veterans you serve.

Start with this template and customize it to match your organization's screening protocols, VA contract requirements, and care coordination workflows—no coding required.