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Veterans Legal Services Clinic Intake Form



  • In order to be considered for the Veterans Legal Services Clinic, you must fill out this intake form in its entirety. A representative from the clinic will contact you over the following weeks.
  • If you and your spouse/partner would both like to request an appointment, you both must complete this intake form.
  • If you have questions, you may email the Veterans Legal Services Clinic at This email address is being protected from spambots. You need JavaScript enabled to view it. or call us at (804) 786-2071.
  • You may also download this intake form and return it by mail to:
              Office of the Attorney General
              Veterans Legal Services Clinic
              202 North Ninth Street
              Richmond, Virginia 23219
  • Space is limited, apply today!

Attention: Before completing the Veterans Legal Services Clinic Intake Form, you must agree to the following Terms, Conditions, and Disclaimer. 

Terms, Conditions, and Disclaimer

  • The content provided on this form is for information purposes only and is not legal advice. Transmission of this information is not intended to create, and receipt does not constitute, an attorney-client relationship. By using this form, you expressly agree that there is no attorney-client relationship between you and the Veterans Legal Services Clinic (Clinic), its participating attorneys, the Virginia Office of the Attorney General (OAG), the Virginia Department of Veterans Services (DVS), the Virginia State Bar (VSB), or any other affiliated organization.
  • All transmissions to and from the OAG, DVS, and the VSB, including, but not limited to, use of the Clinic online intake form cannot be guaranteed to be secure. Further, the OAG and associated organizations and persons cannot guarantee the security of your information or the storage of information. By agreeing to these terms you agree to hold the OAG, DVS, and the VSB harmless for any and all loss or disclosure of information transmitted online.
  • I agree that my relationship with the attorney who prepares my documents will terminate upon completion of the documents and there will be no ongoing representation or relationship. Additionally, I agree that the representation only extends to the preparation of the will, power of attorney, and advance medical directive.
  • No lawyer or law firm involved in the Clinic has performed a conflict search on your name or your spouse's or partner's name. If you are aware of any legal proceeding involving you and your Clinic attorney, please alert the attorney at the beginning of your Clinic appointment so that the attorney may arrange for another attorney to meet with you.
  • All discussions with an attorney will be kept confidential.
  • The OAG, DVS, the VSB, and the attorney who works with you to draft your documents will NOT keep copies of your will or other estate planning documents. Thus, it is up to you to keep your original documents in a safe, secure place.
  • You should understand that significant legal rights may be affected by having a married couple attend the same Clinic appointment. You and your spouse/partner have the option to both seek independent counsel regarding your estate plan.
  • Attorneys participating in the Clinic only advise veterans and their spouses/partners who submit this intake form and are accepted to participate in the Clinic, not beneficiaries or related individuals.
  • Some individuals need complex plans that may require assistance beyond what is available in this program. The attorney assigned to work with you will advise you if a referral is necessary in your case.
  • Any claim relating to use of this form or participation in the Clinic shall be governed by the laws of the Commonwealth of Virginia without regard to its conflict of laws provisions. Any dispute or other legal action concerning the Clinic shall be brought solely in the Circuit Court of the City of Richmond, Virginia.
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Veterans Legal Services Clinic

** If you wish to participate in a future clinic, please fill out an application below and we will contact you to schedule an appointment​.**

Attorney General Mark R. Herring is committed to supporting veterans who have risked their lives to protect the freedom Virginians and Americans enjoy each and every day. He is proud to announce the Office of the Attorney General’s very first pro bono veterans legal services clinic to help veterans create important legal documents including:

  • Wills
  • Powers of attorney
  • Advance medical directives

The clinics, in conjunction with the Virginia Department of Veterans Services and the Virginia State Bar, are available to veterans and their partners. 


To learn more about Attorney General Herring’s veteran initiatives, click here.

Veterans Legal Services Clinic pictures of the Attorney General Mark Herring signing wills and other legal documents for veterans that attended the clinic.


  • In order to participate, you must be a veteran or the spouse/partner of a veteran.
  • You must have a DD214 (Report of Separation or some other official document evidencing military service).
  • You must be a Virginia resident.
  • This program is designed to offer simple Wills, Powers of Attorney, and Advance Medical Directives – it is not designed to provide tax, estate or succession planning.
  • Your income, assets, expenses and geographic location must demonstrate that you do not have access to readily available attorney representation for estate planning and are therefore eligible to receive pro bono (free) legal services.


  • In order to be considered for the clinic, you must fill out the questionnaire in its entirety (link below). A representative from the clinic will contact you over the following weeks.
  • All clinics are appointment only (no walk ups) and will be scheduled on a first come, first served basis
  • If you and your spouse/partner would both like to request an appointment, you must both complete intake questionnaires
  • Please bring photo ID and DD214 (or some other official document evidencing military service) to your appointment
  • You may also download a questionnaire and return it by mail to:
    Office of the Attorney General - Veterans Legal Services Clinic
    202 North Ninth Street
    Richmond, VA  23219
  • Space is limited, apply today!

Clinic Information & Registration

** If you wish to participate in a future clinic, please fill out an application and we will contact you to schedule an appointment​.**








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Heroin: The Hardest Hit

Attorney General Mark R. Herring is proud to present Heroin: The Hardest Hit, a powerful documentary on the heroin and prescription drug epidemic and its effects on Virginians. The film examines the epidemic from all angles with Virginians sharing their own stories of addiction and overdose, testimony from parents who lost their children to an overdose, and insights from law enforcement and public health professionals who are working to address the crisis.

Heroin overdose fatalities in Virginia have more than doubled from 100 deaths in 2011 to 239 deaths in 2014, while an additional 547 Virginians died from prescription drug overdose in 2014. Between 2011 and 2013, every region of the state experienced an increase in heroin overdose fatalities. More Virginians were killed in 2014 by heroin and prescription opioid drug overdose than car crashes.

In response to this growing public health and public safety problem, Attorney General Herring has launched a five-point plan to combat heroin and prescription opiate abuse by creating and implementing partnerships and creative solutions for a complex problem. This film is one example of the preventive and educational measures the Office is pursuing to make all Virginians—from teenagers to adults—more aware of the growing crisis involving heroin and prescription and the risks associated with these dangerous drugs.

If you would like to request a free DVD of Heroin: The Hardest Hit, send the request using this form.


If you would like to host a screening of Heroin: The Hardest Hit, get more information here.



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Common Healthcare Fraud Schemes

In addition to hospitals, doctors and pharmacists, healthcare providers include the following:

  • Medical transportation companies such as taxi/van service providers
  • Home Health providers
  • Durable Medical Equipment suppliers – i.e. wheelchairs, prosthetics, adult diapers
  • Nursing Homes
  • Medical Laboratories
  • Home Infusion Treatment Companies
  • Managed Care Organizations – PPOs, HMOs
  • Rehabilitation Providers

Billing for Goods/Services not Provided

A common type of Medicaid or healthcare fraud scheme is billing for a treatment or procedure never rendered -- such as X-rays, laboratory tests, or drugs that were never dispensed.

Fraudulent providers also "upcode" various medical procedures. When a patient sees a doctor, they may be unaware of the extent of services which were provided. If payment is made by units of time, the time can be expanded. A minor service can also be upcoded as a more labor intensive or expensive service.

Paying "Kickbacks" in Exchange for Referring Business

"Kickbacks" are common in healthcare fraud cases. State and federal law generally prohibit payments to individuals who refer patients to a particular hospital or doctor. Medicaid fraud prosecutions have been brought, for example, against corrupt doctors for splitting fees in return for rent, demanding cash payments from Medicaid patients, and taking money in exchange for patient referrals.

Billing for Medically Unnecessary Tests

An age old scam by some providers is misrepresenting the diagnosis and symptoms on patient records and then submitting invoices to insurance companies to receive a higher rate of reimbursement. An example of this would be a patient who visited the doctor for a common cold treatment, but the insurance company was billed for a condition diagnosed as pneumonia, with associated pneumonia testing.

Charging Personal Expenses to Medicaid

This is a scheme most often engaged in by corrupt nursing homes. Nursing homes are reimbursed based upon the annual submission of a cost report. The inclusion of personal expenses in these costs reports is fraudulent. An example of this occurs when a nursing home administrator includes the cost of his personal car or home on the cost report. This is a criminal violation.

Inflating the Bills for Services Provided

This regularly occurs in the Medicaid transportation sector when van/taxi companies greatly inflate their claimed mileage in order to receive greater reimbursement.

Managed Care Organizations (MCOs)

Managed care presents different fraud issues. Whereas in standard healthcare reimbursement situations, the fraud is characterized by overbilling, a managed care environment creates an incentive to deny care to patients/consumers. This means that while a fee has been paid by the MCO to the doctor for covered services, the services are denied or cut back for other than sound medical reasons. This not only defrauds the insurance company, but also compromises patient health.

Fraud in MCOs also arises in enrollment practices whereby healthy patients are "recruited" to join certain MCOs in a practice known as "cherry picking." Often, they are paid in some fashion for their enrollment.

Double Billing

Double billing occurs when the provider obtains payment from two sources. For example, a provider involved in a drug study bills the insurance company while at the same time receiving payment from the pharmaceutical company. Similarly, two insurers or public programs, or both, may be billed for the same service.

Consumer Deception Fraud

Some fraud is committed by patients/consumers. Examples include using someone else’s insurance card for benefits, listing a non-relative as a family member to obtain coverage, claiming coverage for treatments or supplies not received, faking worker’s compensation injury to receive disability payments, and staged accident frauds. This type of fraud is handled by the Department of Medical Assistance Services as MFCUs are prohibited from handling recipient fraud.