Add a New Request (VBA/VR&E Counselor Role)
see also:
Step 1 – The user logs into
CAPRI, looks up the veteran using the Patient Selector, and moves to the
VocRehab tab (Figure 2-168).
Step 2 – The user clicks on
the Add New Request button to
add a new Chapter 31, VA Form 28-8861 request (Medical Services Request).
The field explanations on the screenshot shown in Figure 2-169 are listed
below:
- Patient Name: This is the
name of the patient selected from the Patient Selector screen. This
is a read-only field and is not editable
- VA Claim#: If a VA
Claim Number exists in the New Patient file for the selected veteran,
it is displayed here. This is a read-only field and is not editable
- Request Date: This
is the date the request is initiated. This is set by the system
clock and is not a user editable field
- Anticipated Date of Rehabilitation:
This is a required field noting a future date when rehabilitation
is anticipated to be complete
- Regional Office: This
is the requestor’s Regional Office and is derived from the user’s
log in
- Point of Contact: This
button displays a screen with the Point of Contact information. This
is the user who entered the Medical Services Request
- Medical Services Requested:
Users must choose from a predefined list of medical services.
If the medical service resides outside of this list, Other can
be selected. The Other Description field is then enabled
- Other Description: This
field is enabled if Other is chosen in the Medical Services Requested
field. This is a required field if enabled
- Reason for Referral: This
is a required field. It is a free text field that is enabled
for a maximum of 50 characters to briefly describe the reason a referral
is being made
- Rehabilitation Objectives:
This is a required field. It is a free text field that
is enabled for a maximum of 100 characters to allow input of rehabilitation
objectives
- Comments / Notes: This
is a free text field allowing for brief or long descriptions relating
to this medical request. The field is always editable unless
the Request for Medical Service has been cancelled or completed
- Preferred Schedule Date:
If the Veteran needs to be seen by a certain date, a Preferred Schedule
Date can be entered
- Preferred Schedule Date Reason:
This field cannot be blank if a Preferred Schedule Date is specified.
One needs to explain the reason for specifying a Preferred Schedule
Date.
- Send Medical Services Request
button. This button submits all the data input and initiates
the Medical Services Request
- Cancel button: This button
closes the form without saving a “new” Medical Services Request.

Figure 2-169