You’re offline. This is a read only version of the page.
Contact Us
To reach a Customer Service representative, either submit your request below or call 1(800) 682-9701.
If you are inquiring about Reserve Health Readiness Program, please call 1(833) 782-7477.
Please do not enter any sensitive information.
*
- indicates required field
I am a
Veteran
Active Duty service member
Reserves service member
Federal Agency examinee
Civilian
Provider
I would like to
Schedule, re-schedule, cancel, or verify an appointment or event
Get assistance registering online or the registration link expired (includes account support and login help)
Ask about mileage reimbursement (including ferry, parking, tolls, vouchers, or reissue a check)
Ask about a case status or update information on file (i.e. change address, phone number, etc.)
Ask about transportation options
Ask about a form or medical records (including uploading/sending in, results, etc.)
Submit feedback, a suggestion, or voice a concern
Resolve a billing question
Other
This is concerning
Administrative
Clinic / Office
Provider
Other
Your Full Name
QTC Claimant ID
Phone – please include your number in the additional details if outside of the U.S.
Email
Please provide us with any additional details
By using this form you agree with the handling of your data by this website. Your form data will not be stored in this website.
By using this form you agree with the handling of your data by this website. Your form data will not be stored in this website.
Primary Feedback Type
Abnormal Exam Findings
Accommodations Unsatisfactory
Advanced Payment
Address Change/Incorrect
Appt Cancelled/But Showed
Bad Customer Service
Bedside Manner
Check on Claim Status
Contact Information Change
Courtesy Check
Covid Rules
CV requests
DBQ Not Identified
Dirty
Disability Access
DHA Exam Inquiry
Emergency Business Operations
Equipment Down/Unsatisfactory
Exam Duration
Exam packet/mailings
Heart
Inaccurate/Bad Directions
Incarcerated Exam Safety
Incentive Check
Inclement Weather
Incorrect Name/Spelling
Infection Control
Lack of Chaperone
Location
Long wait time
Lying
Malpractice
MDEO Case Inquiries
Medical Emergency
Medical Records
Medical Records Request
Misc. Questions
No Response
No/Lack of Signage
Parking
Perceived Bias/Discrimination
Personal Crisis
Physical Distress
Portal Issues - SCP
Portal Issues - SMP
Portal Issues - VA Claimant Portal
Positive Feedback
Privacy/HIPAA
Provider/Tech Unavailable
Quality of Exam
Re-evaluation needed
Reimbursement Inquiry
Remand Case Mishandled
Safety Concern
Scheduling Distance/Location
Scheduling Time/Date
Services Refused
Sexual Harassment/Violation
Show/No Show Inquiry
Telehealth/Virtual Provider No Show
Timeliness (Late)
Travel Distance
Transport Request (Lyft/Sedan)
Unable to finish exam
Unauthorized Recording
Violent or Threatening Behavior
Vulnerable Vet (e.g., SI/HI, Homeless Vet)
Wheelchair Transport Request
Wrong Vendor
Other
DEPRECATE Customer Service
DEPRECATE Distance
Secondary Feedback