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Va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf. A - HEALTH CARE AGENT Place your initials in the box next to your choice. The OMB Control No. for this information collection is 2900-0556. VA FORM NOV 2016 10-0137 Page 1 of 7 PART II DURABLE POWER OF ATTORNEY FOR HEALTH CARE This section of the advance directive form is called a Durable Power of Attorney for Health Care. This is also available in the Compilation of Privacy Act Issuances. You may choose to fill out this form or not. OMB...

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