S02 - Attachment D Priority Patient Concern Form.docx

This file is a Priority Patient Concern Form template designed for use in the J065 VISN 12 Durable Medical Equipment (DME) Delivery Contract solicitation. The document serves as an appendix or attachment that does not directly address required products or services but rather provides a standardized form structure for the contracting process. The form appears to be intended for documenting and addressing patient concerns or issues related to DME delivery services within the Veterans Integrated Service Network 12 under the Department of Veterans Affairs. As a template document, it establishes the format and procedures that contractors or VA personnel should follow when reporting and managing priority patient concerns throughout the contract performance period.