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Edit Entry Screen

With the Edit screen, you can edit information that was previously recorded. You may change any of the information for a record. The input fields for Treatment Locations are described below. Some of these fields are required and some are optional. The required fields are indicated by an asterisk symbol (*). You must click the Save button for your changes to be recorded. After you click "Save" or "Cancel" you will be taken back to the Summary screen. The "Reset" button will return the fields to the original values before any changes were made. You may also choose to delete the entry by clicking the "Delete" button. If for some reason the system is not able to process your entry, the page will refresh with a message explaining what must be done to proceed.

Using this Page

Facility Name (Required) - Enter the name of the facility where you received treatment. You may enter up to 100 characters.

Facility Type (Required) - Indicate whether this facility is a VA or a Non-VA facility by selecting the applicable radio button.

VA Home Facility - Indicate whether this facility is your primary VA facility where you receive treatment by checking the checkbox. Only one facility can be designated as you VA Home Facility. This facility will be identified by a small home icon in your summary list.

Phone Number and Extension - Enter the main switchboard phone number (and extension) of this facility in these two fields.

Fax Number - Enter the fax number of this facility in this field.

Address 1 and Address 2 - Enter the physical street address of this facility into these two fields. You may enter up to 30 characters into each field.

City - Enter the city name in this field. You may enter up to 30 characters.

State - Select the state where this treatment facility is located from the drop-down list.

Zip/Post Code - Enter the Zip or Postal Code of the address into this field.

Country - Select the country this facility is located in. The United States is pre-selected by default.

Province - (Non- U.S. only) If this facility is located in a country that has provinces instead of states, enter the name of the province in this field. You may enter up to 30 characters.

Comments - This is where you can enter any additional thoughts you had about this particular treatment facility. You may enter up to 255 characters.

Save - You must click this button to save the entry.