Upon your arrival at the hotel, we will ask you to sign the FMP enrollment paper and the claim cover sheet. We take care of every procedure regarding the claims and medical care coverage, but we do need your Social Security Number.

 I understand that my Social Security Number (SSN) is required in order to:

• Register me in the Foreign Medical Program (FMP)
  
  
• Submit and process claims related to my medical appointments and services
  
  

I acknowledge that if my SSN is blocked, redacted, or not provided, Veterans Care International cannot complete my registration, cannot submit claims, and cannot include me in the program.

By signing below, I confirm that:

• I consent to providing my full SSN for the purposes listed above once i get to the hotel.
  
  
• I understand that participation in the program is not possible without a SSN
  
  
• I have been informed of this requirement and agree to proceed accordingly