Official VA Form

VA Form 10-0491G

Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), & Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP)

VA Form 10-0491G — Health Professional Scholarship Program (HPSP), Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP), & Veterans Healing Veterans Medical Access and Education Scholarship Program (VHVMAESP) is an official U.S. Department of Veterans Affairs form. The current version was last revised 2020-02-23. It is 7 pages long. Download the up-to-date PDF below — BaseNeed syncs form data directly from VA.gov so you always get the current edition.

Download the official PDF (VA.gov) →

Last revised: 2020-02-23
First issued: 2022-03-23
Pages: 7
Administered by: VHA

Frequently asked questions

What is VA Form 10-0491G used for?

Where can I download the current VA Form 10-0491G?

Download the official PDF from VA.gov here: https://www.va.gov/vaforms/medical/pdf/vha-10-0491g-fill%20(Application).pdf (last revised 2020-02-23).

How long is VA Form 10-0491G?

VA Form 10-0491G is 7 pages long, last revised 2020-02-23.

Always the current version — synced from VA.gov. BaseNeed is not affiliated with the U.S. Department of Veterans Affairs.

You are not the first person to deal with this

BaseNeed is a members-only community for service members, veterans, spouses and their families. Nothing posted inside is public — not on Google, not on Facebook. That is the point: people talk about moves, money and paperwork there, and that only works behind a door.

Nearby form numbers

VA Form 10-0491D — Education Program Completion Notice/Service Obligation Placement—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)

VA Form 10-0491E — Evaluation & Recommendation Form—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)

VA Form 10-0491F — Health Professional Scholarship Program (HPSP) Agreement

VA Form 10-0491H — Notice of Approaching Graduation—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)

VA Form 10-0491I — Notice of Change and/or Annual Academic Status—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)

VA Form 10-0491J — Request for Deferment for Advanced Education—Health Professional Scholarship Program (HPSP) & Visual Impairment and Orientation and Mobility Professionals Scholarship Program (VIOMPSP)