Instructions for using
the VA 1010 form in Microsoft Word
First, you must determine where your Microsoft Word
Template files are saved. To do this, open Microsoft Word, click on the Tools
menu, click on Options, and File Locations. You
want the directory shown next to User Templates.
Download the file by right-clicking
on the link (VA1010.dot) and selecting 'Save Target
As...'. Make sure the file name is VA1010.dot. You may
have to change the file extension from .doc to .dot. If you don't do
this, Word will not recognize it as a template.
To use the template –
1. Open Microsoft Word
2. Click on File, New
3.
Select VA1010, then click OK
4. The cursor is automatically located in the blank to the
right of Study Name:
5. Begin typing where the cursor is located
6. Use the TAB key to move between fields.
7.
For fields with multi-line input (i.e. Address), use the ENTER key to
start a new
line and the TAB key to move to the next field.
8.
Please include the patient’s COUNTY, in field 4 (ADDRESS)
9. Field #8 (Place of Birth) MUST BE FILLED IN or we cannot
schedule the patient.
10. Note that on Field #3 (Sex) and Field #9 (Marital Status), the TAB
key will move
sequentially through the choices. Please place an ‘x’
in only ONE box
and press the TAB key until you get to the next
field.
11. After entering data in Field 10c (Telephone Number), pressing the
TAB key will
skip down to Field 15 (Social Security Number).
The
information between
fields 11 and the first field 15 (VA claim
number) are not required.
12. ALL highlighted fields
MUST BE FILLED IN or we cannot schedule the patient.
If you happen to have a
form without highlighting, you must fill in the following fields :
Study Name; Date; New/Return
Patient;Veteran Status; Ethnicity/Race; Patient Name;
Sex; Address (with County); Phone
number; religion; date of birth; place of birth; marital
status; emergency contact - name,
relationship, address, phone; patient SSN (all 9 digits)
13. If you want to save this as a document, you must use the File, Save As option.
DO NOT save on top of the template file.
14. The form can now be emailed to Yolanda Martinez
(martinezy@uthscsa.edu).
If you
desire, you may also print it and then fax it to 567-4651.
15.
For any questions, problems, etc. call Karen Schulz at 567-4632,
or send email to schulz@uthscsa.edu.
If you have any questions, feel free to contact the GCRC at
567-4632.
