vets_json_schema 1.0.0

Sign up to get free protection for your applications and to get access to all the features.
checksums.yaml ADDED
@@ -0,0 +1,7 @@
1
+ ---
2
+ SHA1:
3
+ metadata.gz: 91f6ba71f08c7b3ec0cf1878992a197d0f84b150
4
+ data.tar.gz: f0c9f5ecb544f25264d29b8b36ba63d668560566
5
+ SHA512:
6
+ metadata.gz: 37276e2e02021497217732e0c91e2f81b39a77ff0a420b088e5e968a9346daa4a5560320e89fe182339597e3d5d663df7864bb942508e02e0720a1a33c6072ef
7
+ data.tar.gz: 8e9a72e4d6ba04abb66dc617c3f39635c175ad2865560d519f86fa57ba445fe4f260ec527db6722f84218793d72da1671b0689615ab7b27096fae9bd084b7e65
data/.babelrc ADDED
@@ -0,0 +1,3 @@
1
+ {
2
+ "presets": ["es2015"]
3
+ }
data/.gitattributes ADDED
@@ -0,0 +1 @@
1
+ dist/*.json -diff
data/.gitignore ADDED
@@ -0,0 +1 @@
1
+ node_modules
data/.nvmrc ADDED
@@ -0,0 +1 @@
1
+ 6.4.0
data/.travis.yml ADDED
@@ -0,0 +1,12 @@
1
+ language: node_js
2
+
3
+ notifications:
4
+ email: false
5
+
6
+ cache:
7
+ directories:
8
+ - node_modules
9
+
10
+ script:
11
+ - npm run build
12
+ - npm run test
data/README.md ADDED
@@ -0,0 +1,9 @@
1
+ # vets-json-schema [![Build Status](https://travis-ci.org/department-of-veterans-affairs/vets-json-schema.svg?branch=master)](https://travis-ci.org/department-of-veterans-affairs/vets-json-schema)
2
+
3
+ ## I want to...
4
+
5
+ | I want to... | Then you should... |
6
+ | ------------ | ------------------ |
7
+ | build the json schemas | `npm run build` |
8
+ | watch for changes and rebuild when they happen | `npm run watch` |
9
+ | run tests on the built schemas | `npm run test` |
Binary file
@@ -0,0 +1,5 @@
1
+ require 'json'
2
+
3
+ module VetsJsonSchema
4
+ EDUCATION_BENEFITS = JSON.parse(File.read("#{__dir__}/../dist/edu-benefits-schema.json"))
5
+ end
data/package.json ADDED
@@ -0,0 +1,28 @@
1
+ {
2
+ "name": "vets-json-schema",
3
+ "version": "1.0.0",
4
+ "repository": {
5
+ "type": "git",
6
+ "url": "git+https://github.com/department-of-veterans-affairs/vets-json-schema.git"
7
+ },
8
+ "scripts": {
9
+ "build": "node src/start build",
10
+ "test": "mocha 'test/**/*.spec.js'",
11
+ "watch": "node src/start watch"
12
+ },
13
+ "files": [
14
+ "dist"
15
+ ],
16
+ "devDependencies": {
17
+ "ajv": "^4.5.0",
18
+ "babel": "^6.5.2",
19
+ "babel-preset-es2015": "^6.13.2",
20
+ "babel-register": "^6.16.0",
21
+ "chai": "^3.5.0",
22
+ "jsonfile": "^2.3.1",
23
+ "lodash": "^4.15.0",
24
+ "mocha": "^3.0.2",
25
+ "node-watch": "^0.4.0"
26
+ },
27
+ "homepage": "https://github.com/department-of-veterans-affairs/vets-json-schema#readme"
28
+ }
@@ -0,0 +1,1597 @@
1
+ const countries = [
2
+ { value: 'USA', label: 'United States' },
3
+ { value: 'AFG', label: 'Afghanistan' },
4
+ { value: 'ALB', label: 'Albania' },
5
+ { value: 'DZA', label: 'Algeria' },
6
+ { value: 'AND', label: 'Andorra' },
7
+ { value: 'AGO', label: 'Angola' },
8
+ { value: 'AIA', label: 'Anguilla' },
9
+ { value: 'ATA', label: 'Antarctica' },
10
+ { value: 'ATG', label: 'Antigua' },
11
+ { value: 'ARG', label: 'Argentina' },
12
+ { value: 'ARM', label: 'Armenia' },
13
+ { value: 'ABW', label: 'Aruba' },
14
+ { value: 'AUS', label: 'Australia' },
15
+ { value: 'AUT', label: 'Austria' },
16
+ { value: 'AZE', label: 'Azerbaijan' },
17
+ { value: 'BHS', label: 'Bahamas' },
18
+ { value: 'BHR', label: 'Bahrain' },
19
+ { value: 'BGD', label: 'Bangladesh' },
20
+ { value: 'BRB', label: 'Barbados' },
21
+ { value: 'BLR', label: 'Belarus' },
22
+ { value: 'BEL', label: 'Belgium' },
23
+ { value: 'BLZ', label: 'Belize' },
24
+ { value: 'BEN', label: 'Benin' },
25
+ { value: 'BMU', label: 'Bermuda' },
26
+ { value: 'BTN', label: 'Bhutan' },
27
+ { value: 'BOL', label: 'Bolivia' },
28
+ { value: 'BIH', label: 'Bosnia' },
29
+ { value: 'BWA', label: 'Botswana' },
30
+ { value: 'BVT', label: 'Bouvet Island' },
31
+ { value: 'BRA', label: 'Brazil' },
32
+ { value: 'IOT', label: 'British' },
33
+ { value: 'BRN', label: 'Brunei Darussalam' },
34
+ { value: 'BGR', label: 'Bulgaria' },
35
+ { value: 'BFA', label: 'Burkina Faso' },
36
+ { value: 'BDI', label: 'Burundi' },
37
+ { value: 'KHM', label: 'Cambodia' },
38
+ { value: 'CMR', label: 'Cameroon' },
39
+ { value: 'CAN', label: 'Canada' },
40
+ { value: 'CPV', label: 'Cape Verde' },
41
+ { value: 'CYM', label: 'Cayman' },
42
+ { value: 'CAF', label: 'Central African Republic' },
43
+ { value: 'TCD', label: 'Chad' },
44
+ { value: 'CHL', label: 'Chile' },
45
+ { value: 'CHN', label: 'China' },
46
+ { value: 'CXR', label: 'Christmas Island' },
47
+ { value: 'CCK', label: 'Cocos Islands' },
48
+ { value: 'COL', label: 'Colombia' },
49
+ { value: 'COM', label: 'Comoros' },
50
+ { value: 'COG', label: 'Congo' },
51
+ { value: 'COD', label: 'Democratic Republic of the Congo' },
52
+ { value: 'COK', label: 'Cook Islands' },
53
+ { value: 'CRI', label: 'Costa Rica' },
54
+ { value: 'CIV', label: 'Ivory Coast' },
55
+ { value: 'HRV', label: 'Croatia' },
56
+ { value: 'CUB', label: 'Cuba' },
57
+ { value: 'CYP', label: 'Cyprus' },
58
+ { value: 'CZE', label: 'Czech Republic' },
59
+ { value: 'DNK', label: 'Denmark' },
60
+ { value: 'DJI', label: 'Djibouti' },
61
+ { value: 'DMA', label: 'Dominica' },
62
+ { value: 'DOM', label: 'Dominican Republic' },
63
+ { value: 'ECU', label: 'Ecuador' },
64
+ { value: 'EGY', label: 'Egypt' },
65
+ { value: 'SLV', label: 'El Salvador' },
66
+ { value: 'GNQ', label: 'Equatorial Guinea' },
67
+ { value: 'ERI', label: 'Eritrea' },
68
+ { value: 'EST', label: 'Estonia' },
69
+ { value: 'ETH', label: 'Ethiopia' },
70
+ { value: 'FLK', label: 'Falkland Islands' },
71
+ { value: 'FRO', label: 'Faroe Islands' },
72
+ { value: 'FJI', label: 'Fiji' },
73
+ { value: 'FIN', label: 'Finland' },
74
+ { value: 'FRA', label: 'France' },
75
+ { value: 'GUF', label: 'French Guiana' },
76
+ { value: 'PYF', label: 'French Polynesia' },
77
+ { value: 'ATF', label: 'French Southern Territories' },
78
+ { value: 'GAB', label: 'Gabon' },
79
+ { value: 'GMB', label: 'Gambia' },
80
+ { value: 'GEO', label: 'Georgia' },
81
+ { value: 'DEU', label: 'Germany' },
82
+ { value: 'GHA', label: 'Ghana' },
83
+ { value: 'GIB', label: 'Gibraltar' },
84
+ { value: 'GRC', label: 'Greece' },
85
+ { value: 'GRL', label: 'Greenland' },
86
+ { value: 'GRD', label: 'Grenada' },
87
+ { value: 'GLP', label: 'Guadeloupe' },
88
+ { value: 'GTM', label: 'Guatemala' },
89
+ { value: 'GIN', label: 'Guinea' },
90
+ { value: 'GNB', label: 'Guinea-Bissau' },
91
+ { value: 'GUY', label: 'Guyana' },
92
+ { value: 'HTI', label: 'Haiti' },
93
+ { value: 'HMD', label: 'Heard Island' },
94
+ { value: 'HND', label: 'Honduras' },
95
+ { value: 'HKG', label: 'Hong Kong' },
96
+ { value: 'HUN', label: 'Hungary' },
97
+ { value: 'ISL', label: 'Iceland' },
98
+ { value: 'IND', label: 'India' },
99
+ { value: 'IDN', label: 'Indonesia' },
100
+ { value: 'IRN', label: 'Iran' },
101
+ { value: 'IRQ', label: 'Iraq' },
102
+ { value: 'IRL', label: 'Ireland' },
103
+ { value: 'ISR', label: 'Israel' },
104
+ { value: 'ITA', label: 'Italy' },
105
+ { value: 'JAM', label: 'Jamaica' },
106
+ { value: 'JPN', label: 'Japan' },
107
+ { value: 'JOR', label: 'Jordan' },
108
+ { value: 'KAZ', label: 'Kazakhstan' },
109
+ { value: 'KEN', label: 'Kenya' },
110
+ { value: 'KIR', label: 'Kiribati' },
111
+ { value: 'PRK', label: 'North Korea' },
112
+ { value: 'KOR', label: 'South Korea' },
113
+ { value: 'KWT', label: 'Kuwait' },
114
+ { value: 'KGZ', label: 'Kyrgyzstan' },
115
+ { value: 'LAO', label: 'Laos' },
116
+ { value: 'LVA', label: 'Latvia' },
117
+ { value: 'LBN', label: 'Lebanon' },
118
+ { value: 'LSO', label: 'Lesotho' },
119
+ { value: 'LBR', label: 'Liberia' },
120
+ { value: 'LBY', label: 'Libya' },
121
+ { value: 'LIE', label: 'Liechtenstein' },
122
+ { value: 'LTU', label: 'Lithuania' },
123
+ { value: 'LUX', label: 'Luxembourg' },
124
+ { value: 'MAC', label: 'Macao' },
125
+ { value: 'MKD', label: 'Macedonia' },
126
+ { value: 'MDG', label: 'Madagascar' },
127
+ { value: 'MWI', label: 'Malawi' },
128
+ { value: 'MYS', label: 'Malaysia' },
129
+ { value: 'MDV', label: 'Maldives' },
130
+ { value: 'MLI', label: 'Mali' },
131
+ { value: 'MLT', label: 'Malta' },
132
+ { value: 'MTQ', label: 'Martinique' },
133
+ { value: 'MRT', label: 'Mauritania' },
134
+ { value: 'MUS', label: 'Mauritius' },
135
+ { value: 'MYT', label: 'Mayotte' },
136
+ { value: 'MEX', label: 'Mexico' },
137
+ { value: 'FSM', label: 'Micronesia' },
138
+ { value: 'MDA', label: 'Moldova' },
139
+ { value: 'MCO', label: 'Monaco' },
140
+ { value: 'MNG', label: 'Mongolia' },
141
+ { value: 'MSR', label: 'Montserrat' },
142
+ { value: 'MAR', label: 'Morocco' },
143
+ { value: 'MOZ', label: 'Mozambique' },
144
+ { value: 'MMR', label: 'Myanmar' },
145
+ { value: 'NAM', label: 'Namibia' },
146
+ { value: 'NRU', label: 'Nauru' },
147
+ { value: 'NPL', label: 'Nepal' },
148
+ { value: 'ANT', label: 'Netherlands Antilles' },
149
+ { value: 'NLD', label: 'Netherlands' },
150
+ { value: 'NCL', label: 'New Caledonia' },
151
+ { value: 'NZL', label: 'New Zealand' },
152
+ { value: 'NIC', label: 'Nicaragua' },
153
+ { value: 'NER', label: 'Niger' },
154
+ { value: 'NGA', label: 'Nigeria' },
155
+ { value: 'NIU', label: 'Niue' },
156
+ { value: 'NFK', label: 'Norfolk' },
157
+ { value: 'NOR', label: 'Norway' },
158
+ { value: 'OMN', label: 'Oman' },
159
+ { value: 'PAK', label: 'Pakistan' },
160
+ { value: 'PAN', label: 'Panama' },
161
+ { value: 'PNG', label: 'Papua New Guinea' },
162
+ { value: 'PRY', label: 'Paraguay' },
163
+ { value: 'PER', label: 'Peru' },
164
+ { value: 'PHL', label: 'Philippines' },
165
+ { value: 'PCN', label: 'Pitcairn' },
166
+ { value: 'POL', label: 'Poland' },
167
+ { value: 'PRT', label: 'Portugal' },
168
+ { value: 'QAT', label: 'Qatar' },
169
+ { value: 'REU', label: 'Reunion' },
170
+ { value: 'ROU', label: 'Romania' },
171
+ { value: 'RUS', label: 'Russia' },
172
+ { value: 'RWA', label: 'Rwanda' },
173
+ { value: 'SHN', label: 'Saint Helena' },
174
+ { value: 'KNA', label: 'Saint Kitts and Nevis' },
175
+ { value: 'LCA', label: 'Saint Lucia' },
176
+ { value: 'SPM', label: 'Saint Pierre and Miquelon' },
177
+ { value: 'VCT', label: 'Saint Vincent and the Grenadines' },
178
+ { value: 'SMR', label: 'San Marino' },
179
+ { value: 'STP', label: 'Sao Tome and Principe' },
180
+ { value: 'SAU', label: 'Saudi Arabia' },
181
+ { value: 'SEN', label: 'Senegal' },
182
+ { value: 'SCG', label: 'Serbia' },
183
+ { value: 'SYC', label: 'Seychelles' },
184
+ { value: 'SLE', label: 'Sierra Leone' },
185
+ { value: 'SGP', label: 'Singapore' },
186
+ { value: 'SVK', label: 'Slovakia' },
187
+ { value: 'SVN', label: 'Slovenia' },
188
+ { value: 'SLB', label: 'Solomon Islands' },
189
+ { value: 'SOM', label: 'Somalia' },
190
+ { value: 'ZAF', label: 'South Africa' },
191
+ { value: 'SGS', label: 'South Georgia and the South Sandwich Islands' },
192
+ { value: 'ESP', label: 'Spain' },
193
+ { value: 'LKA', label: 'Sri Lanka' },
194
+ { value: 'SDN', label: 'Sudan' },
195
+ { value: 'SUR', label: 'Suriname' },
196
+ { value: 'SWZ', label: 'Swaziland' },
197
+ { value: 'SWE', label: 'Sweden' },
198
+ { value: 'CHE', label: 'Switzerland' },
199
+ { value: 'SYR', label: 'Syrian Arab Republic' },
200
+ { value: 'TWN', label: 'Taiwan' },
201
+ { value: 'TJK', label: 'Tajikistan' },
202
+ { value: 'TZA', label: 'Tanzania' },
203
+ { value: 'THA', label: 'Thailand' },
204
+ { value: 'TLS', label: 'Timor-Leste' },
205
+ { value: 'TGO', label: 'Togo' },
206
+ { value: 'TKL', label: 'Tokelau' },
207
+ { value: 'TON', label: 'Tonga' },
208
+ { value: 'TTO', label: 'Trinidad and Tobago' },
209
+ { value: 'TUN', label: 'Tunisia' },
210
+ { value: 'TUR', label: 'Turkey' },
211
+ { value: 'TKM', label: 'Turkmenistan' },
212
+ { value: 'TCA', label: 'Turks and Caicos Islands' },
213
+ { value: 'TUV', label: 'Tuvalu' },
214
+ { value: 'UGA', label: 'Uganda' },
215
+ { value: 'UKR', label: 'Ukraine' },
216
+ { value: 'ARE', label: 'United Arab Emirates' },
217
+ { value: 'GBR', label: 'United Kingdom' },
218
+ { value: 'URY', label: 'Uruguay' },
219
+ { value: 'UZB', label: 'Uzbekistan' },
220
+ { value: 'VUT', label: 'Vanuatu' },
221
+ { value: 'VAT', label: 'Vatican' },
222
+ { value: 'VEN', label: 'Venezuela' },
223
+ { value: 'VNM', label: 'Vietnam' },
224
+ { value: 'VGB', label: 'British Virgin Islands' },
225
+ { value: 'WLF', label: 'Wallis and Futuna' },
226
+ { value: 'ESH', label: 'Western Sahara' },
227
+ { value: 'YEM', label: 'Yemen' },
228
+ { value: 'ZMB', label: 'Zambia' },
229
+ { value: 'ZWE', label: 'Zimbabwe' }
230
+ ];
231
+
232
+ const maritalStatuses = [
233
+ 'Married',
234
+ 'Never Married',
235
+ 'Separated',
236
+ 'Widowed',
237
+ 'Divorced'
238
+ ];
239
+
240
+ const branchesServed = [
241
+ { value: 'air force', label: 'Air Force' },
242
+ { value: 'army', label: 'Army' },
243
+ { value: 'coast guard', label: 'Coast Guard' },
244
+ { value: 'marine corps', label: 'Marine Corps' },
245
+ { value: 'merchant seaman', label: 'Merchant Seaman' },
246
+ { value: 'navy', label: 'Navy' },
247
+ { value: 'noaa', label: 'Noaa' },
248
+ { value: 'usphs', label: 'USPHS' },
249
+ { value: 'f.commonwealth', label: 'Filipino Commonwealth Army' },
250
+ { value: 'f.guerilla', label: 'Filipino Guerilla Forces' },
251
+ { value: 'f.scouts new', label: 'Filipino New Scout' },
252
+ { value: 'f.scouts old', label: 'Filipino Old Scout' },
253
+ { value: 'other', label: 'Other' }
254
+ ];
255
+
256
+ const dischargeTypes = [
257
+ { value: 'honorable', label: 'Honorable' },
258
+ { value: 'general', label: 'General' },
259
+ { value: 'other', label: 'Other Than Honorable' },
260
+ { value: 'bad-conduct', label: 'Bad Conduct' },
261
+ { value: 'dishonorable', label: 'Dishonorable' },
262
+ { value: 'undesirable', label: 'Undesirable' }
263
+ ];
264
+
265
+ const states = {
266
+ CAN: [
267
+ { label: 'Alberta', value: 'AB' },
268
+ { label: 'British Columbia', value: 'BC' },
269
+ { label: 'Manitoba', value: 'MB' },
270
+ { label: 'New Brunswick', value: 'NB' },
271
+ { label: 'Newfoundland', value: 'NF' },
272
+ { label: 'Northwest Territories', value: 'NT' },
273
+ { label: 'Nova Scotia', value: 'NV' },
274
+ { label: 'Nunavut Province', value: 'NU' },
275
+ { label: 'Ontario', value: 'ON' },
276
+ { label: 'Prince Edward Island', value: 'PE' },
277
+ { label: 'Quebec', value: 'QC' },
278
+ { label: 'Saskatchewan', value: 'SK' },
279
+ { label: 'Yukon Territory', value: 'YT' }
280
+ ],
281
+ MEX: [
282
+ { label: 'Aguascalientes', value: 'aguascalientes' },
283
+ { label: 'Baja California Norte', value: 'baja-california-norte' },
284
+ { label: 'Baja California Sur', value: 'baja-california-sur' },
285
+ { label: 'Campeche', value: 'campeche' },
286
+ { label: 'Chiapas', value: 'chiapas' },
287
+ { label: 'Chihuahua', value: 'chihuahua' },
288
+ { label: 'Coahuila', value: 'coahuila' },
289
+ { label: 'Colima', value: 'colima' },
290
+ { label: 'Distrito Federal', value: 'distrito-federal' },
291
+ { label: 'Durango', value: 'durango' },
292
+ { label: 'Guanajuato', value: 'guanajuato' },
293
+ { label: 'Guerrero', value: 'guerrero' },
294
+ { label: 'Hidalgo', value: 'hidalgo' },
295
+ { label: 'Jalisco', value: 'jalisco' },
296
+ { label: 'México', value: 'mexico' },
297
+ { label: 'Michoacán', value: 'michoacan' },
298
+ { label: 'Morelos', value: 'morelos' },
299
+ { label: 'Nayarit', value: 'nayarit' },
300
+ { label: 'Nuevo León', value: 'nuevo-leon' },
301
+ { label: 'Oaxaca', value: 'oaxaca' },
302
+ { label: 'Puebla', value: 'puebla' },
303
+ { label: 'Querétaro', value: 'queretaro' },
304
+ { label: 'Quintana Roo', value: 'quintana-roo' },
305
+ { label: 'San Luis Potosí', value: 'san-luis-potosi' },
306
+ { label: 'Sinaloa', value: 'sinaloa' },
307
+ { label: 'Sonora', value: 'sonora' },
308
+ { label: 'Tabasco', value: 'tabasco' },
309
+ { label: 'Tamaulipas', value: 'tamaulipas' },
310
+ { label: 'Tlaxcala', value: 'tlaxcala' },
311
+ { label: 'Veracruz', value: 'veracruz' },
312
+ { label: 'Yucatán', value: 'yucatan' },
313
+ { label: 'Zacatecas', value: 'zacatecas' }
314
+ ],
315
+ USA: [
316
+ { label: 'Alabama', value: 'AL' },
317
+ { label: 'Alaska', value: 'AK' },
318
+ { label: 'American Samoa', value: 'AS' },
319
+ { label: 'Arizona', value: 'AZ' },
320
+ { label: 'Arkansas', value: 'AR' },
321
+ { label: 'Armed Forces Americas (AA)', value: 'AA' },
322
+ { label: 'Armed Forces Europe (AE)', value: 'AE' },
323
+ { label: 'Armed Forces Pacific (AP)', value: 'AP' },
324
+ { label: 'California', value: 'CA' },
325
+ { label: 'Colorado', value: 'CO' },
326
+ { label: 'Connecticut', value: 'CT' },
327
+ { label: 'Delaware', value: 'DE' },
328
+ { label: 'District Of Columbia', value: 'DC' },
329
+ { label: 'Federated States Of Micronesia', value: 'FM' },
330
+ { label: 'Florida', value: 'FL' },
331
+ { label: 'Georgia', value: 'GA' },
332
+ { label: 'Guam', value: 'GU' },
333
+ { label: 'Hawaii', value: 'HI' },
334
+ { label: 'Idaho', value: 'ID' },
335
+ { label: 'Illinois', value: 'IL' },
336
+ { label: 'Indiana', value: 'IN' },
337
+ { label: 'Iowa', value: 'IA' },
338
+ { label: 'Kansas', value: 'KS' },
339
+ { label: 'Kentucky', value: 'KY' },
340
+ { label: 'Louisiana', value: 'LA' },
341
+ { label: 'Maine', value: 'ME' },
342
+ { label: 'Marshall Islands', value: 'MH' },
343
+ { label: 'Maryland', value: 'MD' },
344
+ { label: 'Massachusetts', value: 'MA' },
345
+ { label: 'Michigan', value: 'MI' },
346
+ { label: 'Minnesota', value: 'MN' },
347
+ { label: 'Mississippi', value: 'MS' },
348
+ { label: 'Missouri', value: 'MO' },
349
+ { label: 'Montana', value: 'MT' },
350
+ { label: 'Nebraska', value: 'NE' },
351
+ { label: 'Nevada', value: 'NV' },
352
+ { label: 'New Hampshire', value: 'NH' },
353
+ { label: 'New Jersey', value: 'NJ' },
354
+ { label: 'New Mexico', value: 'NM' },
355
+ { label: 'New York', value: 'NY' },
356
+ { label: 'North Carolina', value: 'NC' },
357
+ { label: 'North Dakota', value: 'ND' },
358
+ { label: 'Northern Mariana Islands', value: 'MP' },
359
+ { label: 'Ohio', value: 'OH' },
360
+ { label: 'Oklahoma', value: 'OK' },
361
+ { label: 'Oregon', value: 'OR' },
362
+ { label: 'Palau', value: 'PW' },
363
+ { label: 'Pennsylvania', value: 'PA' },
364
+ { label: 'Puerto Rico', value: 'PR' },
365
+ { label: 'Rhode Island', value: 'RI' },
366
+ { label: 'South Carolina', value: 'SC' },
367
+ { label: 'South Dakota', value: 'SD' },
368
+ { label: 'Tennessee', value: 'TN' },
369
+ { label: 'Texas', value: 'TX' },
370
+ { label: 'Utah', value: 'UT' },
371
+ { label: 'Vermont', value: 'VT' },
372
+ { label: 'Virgin Islands', value: 'VI' },
373
+ { label: 'Virginia', value: 'VA' },
374
+ { label: 'Washington', value: 'WA' },
375
+ { label: 'West Virginia', value: 'WV' },
376
+ { label: 'Wisconsin', value: 'WI' },
377
+ { label: 'Wyoming', value: 'WY' }
378
+ ]
379
+ };
380
+
381
+ const suffixes = [
382
+ 'Jr.',
383
+ 'Sr.',
384
+ 'II',
385
+ 'III',
386
+ 'IV'
387
+ ];
388
+
389
+ const genders = [
390
+ { label: 'Female', value: 'F' },
391
+ { label: 'Male', value: 'M' }
392
+ ];
393
+
394
+ const months = [
395
+ { label: 'Jan', value: 1 },
396
+ { label: 'Feb', value: 2 },
397
+ { label: 'Mar', value: 3 },
398
+ { label: 'Apr', value: 4 },
399
+ { label: 'May', value: 5 },
400
+ { label: 'Jun', value: 6 },
401
+ { label: 'Jul', value: 7 },
402
+ { label: 'Aug', value: 8 },
403
+ { label: 'Sep', value: 9 },
404
+ { label: 'Oct', value: 10 },
405
+ { label: 'Nov', value: 11 },
406
+ { label: 'Dec', value: 12 }
407
+ ];
408
+
409
+ const twentyNineDays = ['1', '2', '3', '4', '5', '6', '7', '8', '9', '10', '11', '12', '13', '14', '15', '16', '17', '18', '19', '20', '21', '22', '23', '24', '25', '26', '27', '28', '29'];
410
+ const thirtyDays = ['1', '2', '3', '4', '5', '6', '7', '8', '9', '10', '11', '12', '13', '14', '15', '16', '17', '18', '19', '20', '21', '22', '23', '24', '25', '26', '27', '28', '29', '30'];
411
+ const thirtyOneDays = ['1', '2', '3', '4', '5', '6', '7', '8', '9', '10', '11', '12', '13', '14', '15', '16', '17', '18', '19', '20', '21', '22', '23', '24', '25', '26', '27', '28', '29', '30', '31'];
412
+
413
+ const days = {
414
+ 1: thirtyOneDays,
415
+ 2: twentyNineDays,
416
+ 3: thirtyOneDays,
417
+ 4: thirtyDays,
418
+ 5: thirtyOneDays,
419
+ 6: thirtyDays,
420
+ 7: thirtyOneDays,
421
+ 8: thirtyOneDays,
422
+ 9: thirtyDays,
423
+ 10: thirtyOneDays,
424
+ 11: thirtyDays,
425
+ 12: thirtyOneDays
426
+ };
427
+
428
+ const vaMedicalFacilities = {
429
+ AK: [
430
+ { value: '463GA', label: 'FAIRBANKS VA CLINIC' },
431
+ { value: '463GB', label: 'KENAI VA CLINIC' },
432
+ { value: '463GC', label: 'MAT-SU VA CLINIC' },
433
+ { value: '463GD', label: 'HOMER VA CLINIC' },
434
+ { value: '463GE', label: 'JUNEAU VA CLINIC' },
435
+ ],
436
+ AL: [
437
+ { value: '520GA', label: 'MOBILE OPC' },
438
+ { value: '521', label: 'BIRMINGHAM VAMC' },
439
+ { value: '521GA', label: 'HUNTSVILLE CBOC' },
440
+ { value: '521GB', label: 'DECATUR CBOC' },
441
+ { value: '521GC', label: 'FLORENCE CBOC' },
442
+ { value: '521GD', label: 'RAINBOW CITY CBOC' },
443
+ { value: '521GE', label: 'ANNISTON CBOC' },
444
+ { value: '521GF', label: 'JASPER VA CLINIC' },
445
+ { value: '521GG', label: 'BESSEMER CBOC' },
446
+ { value: '521GH', label: 'CHILDERSBURG CBOC' },
447
+ { value: '521GI', label: 'GUNTERSVILLE CBOC' },
448
+ { value: '619', label: 'CENTRAL ALABAMA HEALTH CARE SYSTEM - MONTGOMERY DIVISION' },
449
+ { value: '619A4', label: 'CENTRAL ALABAMA HEALTH CARE SYSTEM - TUSKEGEE DIVISION' },
450
+ { value: '619GB', label: 'CENTRAL ALABAMA HCS - DOTHAN CBOC' },
451
+ { value: '619GD', label: 'WIREGRASS CBOC' },
452
+ { value: '619GE', label: 'MONROE COUNTY CBOC' },
453
+ { value: '679', label: 'TUSCALOOSA VA MEDICAL CENTER' },
454
+ { value: '679GA', label: 'SELMA VA CLINIC' },
455
+ ],
456
+ AR: [
457
+ { value: '564', label: 'FAYETTEVILLE VA MEDICAL' },
458
+ { value: '564GA', label: 'HARRISON VA CLINIC' },
459
+ { value: '564GB', label: 'FORT SMITH VA CLINIC' },
460
+ { value: '564GD', label: 'OZARK CBOC' },
461
+ { value: '598', label: 'CENTRAL ARKANSAS HEALTH CARE SYSTEM - LITTLE ROCK' },
462
+ { value: '598GA', label: 'MOUNTAIN HOME, AR CBOC' },
463
+ { value: '598GB', label: 'EL DORADO, AR CBOC' },
464
+ { value: '598GC', label: 'HOT SPRINGS, AR CBOC' },
465
+ { value: '598GD', label: 'MENA, AR (CBOC)' },
466
+ { value: '598GE', label: 'PINE BLUFF CBOC' },
467
+ { value: '598GF', label: 'SEARCY CBOC' },
468
+ { value: '598GG', label: 'CONWAY CBOC' },
469
+ { value: '598GH', label: 'RUSSELLVILLE CBOC' },
470
+ { value: '614GB', label: 'JONESBORO VA CLINIC' },
471
+ { value: '614GN', label: 'HELENA VA CLINIC' },
472
+ { value: '657GG', label: 'PARAGOULD AR CBOC (657GG)' },
473
+ { value: '657GW', label: 'POCAHONTAS VA CLINIC' },
474
+ { value: '667GA', label: 'TEXARKANA CBOC' },
475
+ ],
476
+ AS: [
477
+ { value: '459GF', label: 'AMERICAN SAMOA VA CLINIC' },
478
+ ],
479
+ AZ: [
480
+ { value: '644', label: 'PHOENIX VAMC' },
481
+ { value: '644BY', label: 'SOUTHEAST CBOC' },
482
+ { value: '644GA', label: 'SUN CITY, AZ CBOC' },
483
+ { value: '644GB', label: 'SHOW LOW CBOC' },
484
+ { value: '644GC', label: 'SOUTHWEST CBOC' },
485
+ { value: '644GD', label: 'PAYSON CBOC' },
486
+ { value: '644GE', label: 'THUNDERBIRD VA CBOC' },
487
+ { value: '644GF', label: 'GLOBE HEALTH CARE CLINIC' },
488
+ { value: '644GG', label: 'N EAST PHOENIX VA CLINIC' },
489
+ { value: '649', label: 'NORTHERN ARIZONA HEALTH CARE SYSTEM - PRESCOTT DIVISION' },
490
+ { value: '649GA', label: 'KINGMAN CBOC' },
491
+ { value: '649GB', label: 'FLAGSTAFF CBOC' },
492
+ { value: '649GC', label: 'PRESCOTT CBOC LAKE HAVASU CITY' },
493
+ { value: '649GD', label: 'ANTHEM CBOC' },
494
+ { value: '649GE', label: 'COTTONWOOD CBOC' },
495
+ { value: '678', label: 'SOUTHERN ARIZONA HEALTH CARE SYSTEM - TUCSON DIVISION' },
496
+ { value: '678GA', label: 'SIERRA VISTA CBOC' },
497
+ { value: '678GB', label: 'YUMA CBOC' },
498
+ { value: '678GC', label: 'CASA GRANDE CBOC' },
499
+ { value: '678GD', label: 'SAFFORD CBOC' },
500
+ { value: '678GE', label: 'GREEN VALLEY CBOC' },
501
+ { value: '678GF', label: 'NORTHWEST TUCSON URBAN CBOC' },
502
+ { value: '678GG', label: 'SOUTHEAST TUCSON' },
503
+ ],
504
+ CA: [
505
+ { value: '570', label: 'FRESNO VA MEDICAL CENTER' },
506
+ { value: '570GA', label: 'MERCED VA CLINIC' },
507
+ { value: '570GB', label: 'TULARE VA CLINIC' },
508
+ { value: '570GC', label: 'OAKHURST VA CLINIC' },
509
+ { value: '600', label: 'VA LONG BEACH HEALTHCARE SYSTEM' },
510
+ { value: '600GA', label: 'ANAHEIM VETERANS HEALTH CLINIC' },
511
+ { value: '600GB', label: 'SANTA ANA VETERANS HEALTH CLINIC' },
512
+ { value: '600GC', label: 'CABRILLO VETERANS HEALTH CLINIC' },
513
+ { value: '600GD', label: 'WHITTIER/SANTA FE SPRINGS CLINIC' },
514
+ { value: '600GE', label: 'LAGUNA HILLS VET HLTH CLINIC' },
515
+ { value: '605', label: 'LOMA LINDA HCS' },
516
+ { value: '605GA', label: 'VICTORVILLE CBOC' },
517
+ { value: '605GB', label: 'MURRIETA CBOC' },
518
+ { value: '605GC', label: 'PALM DESERT CBOC' },
519
+ { value: '605GD', label: 'CORONA CBOC' },
520
+ { value: '605GE', label: 'RANCHO CUCAMONGA CBOC' },
521
+ { value: '612', label: 'NORTHERN CALIFORNIA HCS' },
522
+ { value: '612A4', label: 'SACRAMENTO VA MEDICAL CENTER' },
523
+ { value: '612B4', label: 'REDDING VA CLINIC' },
524
+ { value: '612BY', label: 'OAKLAND VA CLINIC' },
525
+ { value: '612GD', label: 'FAIRFIELD VA CLINIC' },
526
+ { value: '612GE', label: 'MARE ISLAND VA CLINIC' },
527
+ { value: '612GF', label: 'MARTINEZ CBOC' },
528
+ { value: '612GG', label: 'CHICO VA CLINIC' },
529
+ { value: '612GH', label: 'MCCLELLAN VA CLINIC' },
530
+ { value: '612GI', label: 'YUBA CITY CBOC' },
531
+ { value: '612GJ', label: 'YREKA VA CLINIC' },
532
+ { value: '612MA', label: 'IDES MCCLELLAN OPC' },
533
+ { value: '640', label: 'PALO ALTO VA MEDICAL CENTER' },
534
+ { value: '640A4', label: 'PALO ALTO VAMC-LIVERMORE' },
535
+ { value: '640BY', label: 'SAN JOSE VA CLINIC' },
536
+ { value: '640GA', label: 'CAPITOLA VA CLINIC' },
537
+ { value: '640GB', label: 'SONORA VA CLINIC' },
538
+ { value: '640GC', label: 'FREMONT VA CLINIC' },
539
+ { value: '640HA', label: 'PALO ALTO HEALTH CARE SYSTEM - STOCKTON DIVSION' },
540
+ { value: '640HB', label: 'MODESTO VA CLINIC' },
541
+ { value: '640HC', label: 'MONTEREY VA CLINIC' },
542
+ { value: '654GA', label: 'SIERRA FOOTHILLS VA CLINIC' },
543
+ { value: '654GD', label: 'DIAMOND VIEW VA CLINIC' },
544
+ { value: '662', label: 'SAN FRANCISCO VAMC' },
545
+ { value: '662GA', label: 'SANTA ROSA, CA CBOC' },
546
+ { value: '662GB', label: 'VALLEJO CBOC' },
547
+ { value: '662GC', label: 'EUREKA VA CLINIC' },
548
+ { value: '662GD', label: 'UKIAH VA CLINIC' },
549
+ { value: '662GE', label: 'SAN BRUNO CBOC' },
550
+ { value: '662GF', label: 'SAN FRANCISCO VA CLINIC' },
551
+ { value: '662GG', label: 'CLEARLAKE VA CLINIC' },
552
+ { value: '664', label: 'VA SAN DIEGO HEALTHCARE SYSTEM (664)' },
553
+ { value: '664BY', label: 'MISSION VALLEY SOC' },
554
+ { value: '664GA', label: 'IMPERIAL VALLEY CBOC' },
555
+ { value: '664GB', label: 'OCEANSIDE CBOC' },
556
+ { value: '664GC', label: 'CHULA VISTA CBOC' },
557
+ { value: '664GD', label: 'ESCONDIDO CBOC' },
558
+ { value: '691', label: 'VA GREATER LOS ANGELES HEALTHCARE SYSTEM - WEST LOS ANGELES DIVISION' },
559
+ { value: '691A4', label: 'SEPULVEDA OUTPATIENT & NURSING HOME CARE' },
560
+ { value: '691GB', label: 'SANTA BARBARA CBOC' },
561
+ { value: '691GC', label: 'GARDENA CBOC' },
562
+ { value: '691GD', label: 'BAKERSFIELD CBOC' },
563
+ { value: '691GE', label: 'LOS ANGELES CBOC' },
564
+ { value: '691GF', label: 'EAST LOS ANGELES CBOC' },
565
+ { value: '691GG', label: 'ANTELOPE VALLEY VA CLINIC' },
566
+ { value: '691GK', label: 'SAN LUIS OBISPO CBOC' },
567
+ { value: '691GL', label: 'SANTA MARIA CBOC' },
568
+ { value: '691GM', label: 'OXNARD CBOC' },
569
+ { value: '691GN', label: 'LYNWOOD CBOC' },
570
+ { value: '691GO', label: 'PASADENA CBOC' },
571
+ ],
572
+ CO: [
573
+ { value: '442GC', label: 'FORT COLLINS VA CLINIC' },
574
+ { value: '442GD', label: 'GREELEY VA CLINIC' },
575
+ { value: '501GJ', label: 'DURANGO VA CLINIC' },
576
+ { value: '554', label: 'DENVER VA MEDICAL CENTER' },
577
+ { value: '554GB', label: 'AURORA VA CLINIC' },
578
+ { value: '554GC', label: 'GOLDEN VA CLINIC' },
579
+ { value: '554GD', label: 'PUEBLO VA CLINIC' },
580
+ { value: '554GE', label: 'FLOYD K. LINDSTROM VA CLINIC' },
581
+ { value: '554GF', label: 'ALAMOSA VA CLINIC' },
582
+ { value: '554GG', label: 'LA JUNTA COMMUNITY BASED OUTPATIENT CLINIC (554GG)' },
583
+ { value: '554GH', label: 'LAMAR VA CLINIC' },
584
+ { value: '554GI', label: 'BURLINGTON VA CLINIC' },
585
+ { value: '575', label: 'GRAND JUNCTION VAMC' },
586
+ { value: '575GA', label: 'MONTROSE CBOC' },
587
+ ],
588
+ CT: [
589
+ { value: '689', label: 'VA CONNECTICUT HEALTHCARE SYSTEM - WEST HAVEN DIVISION' },
590
+ { value: '689A4', label: 'NEWINGTON' },
591
+ { value: '689GA', label: 'WATERBURY' },
592
+ { value: '689GB', label: 'STAMFORD VA PRIMARY CARE CTR' },
593
+ { value: '689GC', label: 'WINDHAM CBOC' },
594
+ { value: '689GD', label: 'WINSTED' },
595
+ { value: '689GE', label: 'DANBURY' },
596
+ { value: '689HC', label: 'NEW LONDON' },
597
+ ],
598
+ DC: [
599
+ { value: '688', label: 'WASHINGTON VA MEDICAL CENTER' },
600
+ { value: '688GB', label: 'SOUTHEAST WASHINGTON VA CLINIC' },
601
+ { value: '688QA', label: 'FRANKLIN STREET VA CLINIC' },
602
+ ],
603
+ DE: [
604
+ { value: '460GA', label: 'SUSSEX COUNTY VA CLINIC' },
605
+ { value: '460GC', label: 'KENT COUNTY VA CLINIC' },
606
+ ],
607
+ FL: [
608
+ { value: '516', label: 'C.W. BILL YOUNG DEPT OF VAMC' },
609
+ { value: '516BZ', label: 'LEE COUNTY VA CLINIC' },
610
+ { value: '516GA', label: 'SARASOTA COUNTY CBOC' },
611
+ { value: '516GB', label: 'ST. PETERSBURG VA CLINIC' },
612
+ { value: '516GC', label: 'PALM HARBOR VA CLINIC' },
613
+ { value: '516GD', label: 'BRADENTON VA CLINIC' },
614
+ { value: '516GE', label: 'PORT CHARLOTTE VA CLINIC' },
615
+ { value: '516GF', label: 'NAPLES VA CLINIC' },
616
+ { value: '516GH', label: 'SEBRING VA CLINIC' },
617
+ { value: '520BZ', label: 'PENSACOLA VA CLINIC' },
618
+ { value: '520GB', label: 'PANAMA CITY BEACH VA CLINIC' },
619
+ { value: '520GC', label: 'EGLIN AIR FORCE BASE VA CLINIC' },
620
+ { value: '546', label: 'BRUCE W. CARTER DEPT OF VAMC' },
621
+ { value: '546B0', label: 'MIAMI (OCS)' },
622
+ { value: '546BZ', label: 'WILLIAM BILL KLING VAOC' },
623
+ { value: '546GA', label: 'MIAMI (ALCOHOL/DRUG)' },
624
+ { value: '546GB', label: 'KEY WEST CBOC' },
625
+ { value: '546GC', label: 'HOMESTEAD VA CLINIC' },
626
+ { value: '546GD', label: 'PEMBROKE PINES VA CLINIC' },
627
+ { value: '546GE', label: 'KEY LARGO VA CLINIC' },
628
+ { value: '546GF', label: 'HOLLYWOOD VA CLINIC' },
629
+ { value: '546GH', label: 'DEERFIELD BEACH CLINIC' },
630
+ { value: '548', label: 'WEST PALM BEACH VAMC' },
631
+ { value: '548GA', label: 'FORT PIERCE VA CLINIC' },
632
+ { value: '548GB', label: 'DELRAY BEACH VA CLINIC' },
633
+ { value: '548GC', label: 'STUART VA CLINIC' },
634
+ { value: '548GD', label: 'BOCA RATON CBOC' },
635
+ { value: '548GE', label: 'VERO BEACH VA CLINIC' },
636
+ { value: '548GF', label: 'OKEECHOBEE VA CLINIC' },
637
+ { value: '573', label: 'MALCOM RANDALL DEPT OF VAMC' },
638
+ { value: '573A4', label: 'LAKE CITY VA MEDICAL CENTER' },
639
+ { value: '573BY', label: 'JACKSONVILLE 1 VA CLINIC' },
640
+ { value: '573GB', label: 'JACKSONVILLE CBOC' },
641
+ { value: '573GC', label: 'DAYTONA BEACH CBOC' },
642
+ { value: '573GD', label: 'OCALA VA CLINIC' },
643
+ { value: '573GE', label: 'SAINT AUGUSTINE VA CLINIC' },
644
+ { value: '573GF', label: 'TALLAHASSEE VA CLINIC' },
645
+ { value: '573GG', label: 'LECANTO VA CLINIC' },
646
+ { value: '573GI', label: 'THE VILLAGES VA CLINIC' },
647
+ { value: '573GK', label: 'MARIANNA VA CLINIC' },
648
+ { value: '573GL', label: 'PALATKA VA CLINIC' },
649
+ { value: '573GN', label: 'PERRY VA CLINIC' },
650
+ { value: '673', label: 'JAMES A. HALEY VETERANS HOSP' },
651
+ { value: '673BZ', label: 'PORT RICHEY OUTPATIENT CLINIC' },
652
+ { value: '673GB', label: 'LAKELAND VA CLINIC' },
653
+ { value: '673GC', label: 'BROOKSVILLE CBOC' },
654
+ { value: '673GF', label: 'ZEPHYRHILLS VA CLINIC' },
655
+ { value: '675', label: 'ORLANDO VAMC' },
656
+ { value: '675GA', label: 'VIERA VA CLINIC' },
657
+ { value: '675GB', label: 'WILLIAM V. CHAPPELL, JR. VOC' },
658
+ { value: '675GC', label: 'KISSIMMEE VA CLINIC' },
659
+ { value: '675GD', label: 'ORANGE CITY VA CLINIC' },
660
+ { value: '675GE', label: 'LEESBURG VA CLINIC' },
661
+ { value: '675GF', label: 'CLERMONT CBOC' },
662
+ { value: '675GG', label: 'LAKE BALDWIN VA CLINIC' },
663
+ ],
664
+ GA: [
665
+ { value: '508', label: 'ATLANTA VAMC' },
666
+ { value: '508GA', label: 'ATLANTA VA CBOC' },
667
+ { value: '508GE', label: 'OAKWOOD VA CLINIC' },
668
+ { value: '508GF', label: 'AUSTELL CBOC' },
669
+ { value: '508GG', label: 'STOCKBRIDGE CBOC' },
670
+ { value: '508GH', label: 'LAWRENCEVILLE CBOC' },
671
+ { value: '508GI', label: 'NEWNAN CBOC' },
672
+ { value: '508GJ', label: 'BLAIRSVILLE CBOC' },
673
+ { value: '508GK', label: 'CARROLLTON CBOC' },
674
+ { value: '508GL', label: 'ROME VA CLINIC' },
675
+ { value: '509', label: 'AUGUSTA VAMC' },
676
+ { value: '509A0', label: 'AUGUSTA VAMC - UPTOWN' },
677
+ { value: '509GA', label: 'ATHENS CBOC' },
678
+ { value: '534BY', label: 'SAVANNAH PRIMARY CARE CLINIC' },
679
+ { value: '534GE', label: 'HINESVILLE CBOC' },
680
+ { value: '557', label: 'DUBLIN' },
681
+ { value: '557GA', label: 'MACON VA CBOC' },
682
+ { value: '557GB', label: 'ALBANY VA CBOC' },
683
+ { value: '557GC', label: 'BALDWIN CBOC' },
684
+ { value: '557GE', label: 'BRUNSWICK CBOC' },
685
+ { value: '573GA', label: 'VALDOSTA CBOC' },
686
+ { value: '573GJ', label: 'ST. MARYS VA CLINIC' },
687
+ { value: '573GM', label: 'WAYCROSS VA CLINIC' },
688
+ { value: '619GA', label: 'CENTRAL ALABAMA HCS - COLUMBUS CBOC' },
689
+ { value: '619QB', label: 'FORT BENNING VA CLINIC' },
690
+ ],
691
+ GU: [
692
+ { value: '459GE', label: 'GUAM CBOC' },
693
+ ],
694
+ HI: [
695
+ { value: '459GA', label: 'MAUI VA CLINIC' },
696
+ { value: '459GB', label: 'HILO CBOC' },
697
+ { value: '459GC', label: 'KONA CBOC' },
698
+ { value: '459GD', label: 'KAUAI CBOC' },
699
+ { value: '459GG', label: 'LEEWARD OAHU CBOC' },
700
+ ],
701
+ IA: [
702
+ { value: '438GA', label: 'SPIRIT LAKE CBOC' },
703
+ { value: '438GC', label: 'SIOUX CITY CBOC' },
704
+ { value: '636A6', label: 'VA CIHS, DES MOINES DIVISION' },
705
+ { value: '636A8', label: 'IOWA CITY HCS' },
706
+ { value: '636GC', label: 'MASON CITY COMMINITY BASED OUTPATIENT CLINIC' },
707
+ { value: '636GD', label: 'MARSHALLTOWN COMMUNITY BASED OUTPATIENT CLINIC' },
708
+ { value: '636GF', label: 'BETTENDORF COMMUNITY BASED OUTPATIENT CLINIC' },
709
+ { value: '636GH', label: 'WATERLOO COMMUNITY BASED OUTPATIENT CLINIC' },
710
+ { value: '636GJ', label: 'DUBUQUE COMMUNITY BASED OUTPATIENT CLINIC' },
711
+ { value: '636GK', label: 'FORT DODGE CBOC' },
712
+ { value: '636GM', label: 'CARROLL CBOC' },
713
+ { value: '636GN', label: 'CEDAR RAPIDS CBOC' },
714
+ { value: '636GP', label: 'SHENANDOAH CBOC' },
715
+ { value: '636GR', label: 'KNOXVILLE CBOC' },
716
+ { value: '636GS', label: 'OTTUMWA CBOC' },
717
+ { value: '636GU', label: 'DECORAH CBOC' },
718
+ { value: '636GW', label: 'CORALVILLE VA CBOC' },
719
+ ],
720
+ ID: [
721
+ { value: '531', label: 'BOISE VA MEDICAL CENTER' },
722
+ { value: '531GE', label: 'TWIN FALLS VA CLINIC' },
723
+ { value: '531GG', label: 'CALDWELL VA CLINIC' },
724
+ { value: '531GI', label: 'MOUNTAIN HOME VA CLINIC' },
725
+ { value: '531GJ', label: 'SALMON VA CLINIC' },
726
+ { value: '660GA', label: 'VA POCATELLO CBOC (660GA)' },
727
+ { value: '668GB', label: 'COEUR D ALENE VA CLINIC' },
728
+ { value: '687GB', label: 'LEWISTON VA CLINIC' },
729
+ ],
730
+ IL: [
731
+ { value: '537', label: 'JESSE BROWN VA MEDICAL CENTER' },
732
+ { value: '537GA', label: 'CHICAGO HEIGHTS CBOC' },
733
+ { value: '537GD', label: 'LAKESIDE CBOC' },
734
+ { value: '537HA', label: 'BEVERLY CBOC' },
735
+ { value: '550', label: 'DANVILLE VA MEDICAL CENTER' },
736
+ { value: '550BY', label: 'BOB MICHEL VA OPC' },
737
+ { value: '550GA', label: 'DECATUR VA CLINIC' },
738
+ { value: '550GD', label: 'SPRINGFIELD VA CLINIC' },
739
+ { value: '550GF', label: 'MATTOON CBOC' },
740
+ { value: '556', label: 'CAPTN JAMES LOVELL FED HLT CTR' },
741
+ { value: '556GA', label: 'EVANSTON CBOC' },
742
+ { value: '556GC', label: 'MCHENRY CBOC' },
743
+ { value: '578', label: 'EDWARD J. HINES JR. HOSPITAL' },
744
+ { value: '578GA', label: 'JOLIET CBOC (578GA)' },
745
+ { value: '578GC', label: 'KANKAKEE COUNTY CBOC' },
746
+ { value: '578GD', label: 'AURORA CBOC (578GD)' },
747
+ { value: '578GE', label: 'HOFFMAN ESTATES VA CLINIC' },
748
+ { value: '578GF', label: 'LASSALLE CBOC (578GF)' },
749
+ { value: '578GG', label: 'OAK LAWN CBOC (578GG)' },
750
+ { value: '607GF', label: 'FREEPORT CBOC' },
751
+ { value: '607HA', label: 'ROCKFORD, IL OPC' },
752
+ { value: '636GG', label: 'QUINCY COMMUNITY BASED OUTPATIENT CLINIC' },
753
+ { value: '636GI', label: 'GALESBURG COMMUNITY BASED OUTPATIENT CLINIC' },
754
+ { value: '636GT', label: 'STERLING CBOC' },
755
+ { value: '657A5', label: 'VA HEARTLAND-EAST, VISN 15 HCS MARION IL DIVISION' },
756
+ { value: '657GA', label: 'BELLEVILLE IL CBOC (657GA)' },
757
+ { value: '657GK', label: 'MT. VERNON IL CBOC (657GK)' },
758
+ { value: '657GM', label: 'EFFINGHAM VA CLINIC' },
759
+ { value: '657GT', label: 'CARBONDALE CBOC' },
760
+ { value: '657GU', label: 'HARRISBURG CBOC' },
761
+ ],
762
+ IN: [
763
+ { value: '537BY', label: 'ADAM BENJAMIN JR OPC' },
764
+ { value: '539GC', label: 'LAWRENCEBURG (DEARBORN COUNTY)' },
765
+ { value: '550GC', label: 'LAFAYETTE, IN CBOC' },
766
+ { value: '552GC', label: 'RICHMOND CBOC' },
767
+ { value: '583', label: 'RICHARD L. ROUDEBUSH VAMC' },
768
+ { value: '583GA', label: 'TERRE HAUTE VA CLINIC' },
769
+ { value: '583GB', label: 'BLOOMINGTON VA CLINIC' },
770
+ { value: '583GC', label: 'MARTINSVILLE VA CLINIC' },
771
+ { value: '583GD', label: 'INDIANAPOLIS WEST VA CLINIC' },
772
+ { value: '583GE', label: 'WEST LAFAYETTE VA CLINIC' },
773
+ { value: '603GB', label: 'NEW ALBANY VA CLINIC' },
774
+ { value: '603GG', label: 'SCOTT COUNTY VA CLINIC' },
775
+ { value: '610', label: 'MARION VA MEDICAL CENTER' },
776
+ { value: '610A4', label: 'FORT WAYNE VA MEDICAL CENTER' },
777
+ { value: '610GA', label: 'SOUTH BEND VA CLINIC' },
778
+ { value: '610GB', label: 'MUNCIE VA CLINIC' },
779
+ { value: '610GC', label: 'GOSHEN VA CLINIC' },
780
+ { value: '610GD', label: 'PERU VA CLINIC' },
781
+ { value: '657GJ', label: 'EVANSVILLE IL CBOC' },
782
+ { value: '657GQ', label: 'VINCENNES IN CBOC' },
783
+ ],
784
+ KS: [
785
+ { value: '589A5', label: 'COLMERY O NEIL VAMC' },
786
+ { value: '589A6', label: 'DWIGHT D. EISENHOWER VAMC' },
787
+ { value: '589A7', label: 'ROBERT J. DOLE VAMC' },
788
+ { value: '589G2', label: 'DODGE CITY VA CLINIC' },
789
+ { value: '589G3', label: 'LIBERAL CBOC' },
790
+ { value: '589G4', label: 'HAYS CBOC' },
791
+ { value: '589G5', label: 'PARSONS CBOC' },
792
+ { value: '589G7', label: 'HUTCHINSON CBOC' },
793
+ { value: '589G9', label: 'FORT RILEY CBOC' },
794
+ { value: '589GC', label: 'PAOLA VA CLINIC' },
795
+ { value: '589GJ', label: 'WYANDOTTE COUNTY VA CLINIC' },
796
+ { value: '589GM', label: 'CHANUTE VA CLINIC' },
797
+ { value: '589GN', label: 'EMPORIA VA CLINIC' },
798
+ { value: '589GP', label: 'GARNETT VA CLINIC' },
799
+ { value: '589GR', label: 'JUNCTION CITY VA CLINIC' },
800
+ { value: '589GT', label: 'SENECA VA CLINIC' },
801
+ { value: '589GU', label: 'LAWRENCE VA CLINIC' },
802
+ { value: '589GV', label: 'FORT SCOTT VA CLINIC' },
803
+ { value: '589GW', label: 'SALINA CBOC WICHITA' },
804
+ { value: '677HQ', label: 'JUNCTION CITY CBOC' },
805
+ ],
806
+ KY: [
807
+ { value: '539A4', label: 'CINCINNATI VAMC FORT THOMAS' },
808
+ { value: '539GA', label: 'BELLEVUE CBOC' },
809
+ { value: '539GD', label: 'FLORENCE CBOC' },
810
+ { value: '581GA', label: 'PRESTONSBURG CBOC' },
811
+ { value: '596', label: 'LEXINGTON VAMC-LEESTOWN' },
812
+ { value: '596A4', label: 'LEXINGTON VETERANS AFFAIRS MEDICAL CENTER' },
813
+ { value: '596GA', label: 'SOMERSET VA CLINIC' },
814
+ { value: '596GB', label: 'MOREHEAD VA CLINIC' },
815
+ { value: '596GC', label: 'HAZARD VA CLINIC' },
816
+ { value: '596GD', label: 'BEREA VA CLINIC' },
817
+ { value: '596HA', label: 'LEXINGTON MOBILE OUTREACH CLINIC' },
818
+ { value: '603', label: 'ROBLEY REX VAMC' },
819
+ { value: '603GA', label: 'VA HEALTHCARE CENTER, FT. KNOX' },
820
+ { value: '603GC', label: 'SHIVELY VA CLINIC' },
821
+ { value: '603GD', label: 'DUPONT VA CLINIC' },
822
+ { value: '603GE', label: 'NEWBURG VA CLINIC' },
823
+ { value: '603GF', label: 'GRAYSON COUNTY VA CLINIC' },
824
+ { value: '603GH', label: 'CARROLLTON VA CLINIC' },
825
+ { value: '626GC', label: 'BOWLING GREEN COMMUNITY BASED OUTPATIENT CLINIC' },
826
+ { value: '626GJ', label: 'HOPKINSVILLE VA CLINIC' },
827
+ { value: '657GL', label: 'PADUCAH KY CBOC (657GL)' },
828
+ { value: '657GO', label: 'HANSON KY CBOC (657GO)' },
829
+ { value: '657GP', label: 'OWENSBORO KY CBOC' },
830
+ { value: '657GR', label: 'MAYFIELD VA CBOC' },
831
+ ],
832
+ LA: [
833
+ { value: '502', label: 'ALEXANDRIA VA MEDICAL CENTER' },
834
+ { value: '502GA', label: 'JENNINGS CBOC' },
835
+ { value: '502GB', label: 'LAFAYETTE VA CLINIC' },
836
+ { value: '502GE', label: 'LAKE CHARLES VA CLINIC' },
837
+ { value: '502GF', label: 'FORT POLK VA CLINIC' },
838
+ { value: '502GG', label: 'NATCHITOCHES VA CLINIC' },
839
+ { value: '629', label: 'SE LOUISIANA VETERANS HCS' },
840
+ { value: '629BY', label: 'VA BATON ROUGE OUTPATIENT CLINIC' },
841
+ { value: '629GA', label: 'HOUMA CBOC' },
842
+ { value: '629GB', label: 'HAMMOND CBOC' },
843
+ { value: '629GC', label: 'SLIDELL CBOC' },
844
+ { value: '629GD', label: 'ST. JOHN VA OUTPATIENT CLINIC' },
845
+ { value: '629GE', label: 'FRANKLIN CBOC' },
846
+ { value: '629GF', label: 'BOGALUSA CBOC' },
847
+ { value: '667', label: 'OVERTON BROOKS VA MEDICAL CENTER' },
848
+ { value: '667GB', label: 'MONROE VA CLINIC' },
849
+ ],
850
+ MA: [
851
+ { value: '518', label: 'EDITH NOURSE ROGERS VAMC' },
852
+ { value: '518GA', label: 'LYNN VA CLINIC' },
853
+ { value: '518GB', label: 'HAVERHILL VA CLINIC' },
854
+ { value: '518GE', label: 'GLOUCESTER VA CLINIC' },
855
+ { value: '518GG', label: 'FITCHBURG CBOC' },
856
+ { value: '523', label: 'VA BOSTON HEALTHCARE SYSTEM - BOSTON DIVISION' },
857
+ { value: '523A4', label: 'VA BOSTON HEALTHCARE SYSTEM - WEST ROXBURY DIVISION' },
858
+ { value: '523A5', label: 'VA BOSTON HEALTHCARE SYSTEM - BROCKTON DIVISION' },
859
+ { value: '523BY', label: 'VA BOSTON HEALTHCARE SYSTEM - LOWELL DIVISION' },
860
+ { value: '523BZ', label: 'VA BOSTON HEALTHCARE SYSTEM - BOSTON OPC DIVISION' },
861
+ { value: '523GA', label: 'VA BOSTON HEALTHCARE SYSTEM - FRAMINGHAM CBOC' },
862
+ { value: '523GB', label: 'VA BOSTON HEALTHCARE SYSTEM - WORCESTER DIVISION' },
863
+ { value: '523GC', label: 'VA BOSTON HEALTHCARE SYSTEM - QUINCY CBOC' },
864
+ { value: '523GD', label: 'PLYMOUTH CBOC' },
865
+ { value: '631', label: 'VA CNTRL WSTRN MASSCHUSETS HCS' },
866
+ { value: '631BY', label: 'SPRINGFIELD OPC' },
867
+ { value: '631GC', label: 'PITTSFIELD CBOC' },
868
+ { value: '631GD', label: 'GREENFIELD CBOC' },
869
+ { value: '631GE', label: 'WORCESTER CBOC' },
870
+ { value: '631GF', label: 'FITCHBURG CBOC' },
871
+ { value: '650GA', label: 'NEW BEDFORD CBOC' },
872
+ { value: '650GB', label: 'HYANNIS CBOC' },
873
+ ],
874
+ MD: [
875
+ { value: '512', label: 'VA MARYLAND HEALTH CARE SYS' },
876
+ { value: '512A5', label: 'PERRY POINT VAMC' },
877
+ { value: '512GA', label: 'CAMBRIDGE VA CLINIC' },
878
+ { value: '512GC', label: 'GLEN BURNIE VA CLINIC' },
879
+ { value: '512GD', label: 'LOCH RAVEN VA CLINIC' },
880
+ { value: '512GE', label: 'POCOMOKE CITY VA CLINIC' },
881
+ { value: '512GF', label: 'FORT HOWARD VA CLINIC' },
882
+ { value: '512GG', label: 'FORT MEADE VA CLINIC' },
883
+ { value: '613GA', label: 'CUMBERLAND CBOC' },
884
+ { value: '613GB', label: 'HAGERSTOWN VA CLINIC' },
885
+ { value: '613GG', label: 'FORT DETRICK VA CLINIC' },
886
+ { value: '688GC', label: 'GREENBELT VA CLINIC' },
887
+ { value: '688GD', label: 'CHARLOTTE HALL VA CLINIC' },
888
+ { value: '688GE', label: 'S PRINCE GEORGES CITY VA CLINIC' },
889
+ ],
890
+ ME: [
891
+ { value: '402GA', label: 'CARIBOU MAINE CBOC' },
892
+ { value: '402GB', label: 'CALAIS MAINE CBOC' },
893
+ { value: '402GC', label: 'RUMFORD MAINE CBOC' },
894
+ { value: '402GD', label: 'SACO MAINE CBOC' },
895
+ { value: '402GE', label: 'LEWISTON AUBURN CBOC' },
896
+ { value: '402GF', label: 'LINCOLN VA CLINIC' },
897
+ { value: '402HB', label: 'BANGOR MAINE CBOC' },
898
+ { value: '402HC', label: 'PORTLAND MAINE MH ORC' },
899
+ ],
900
+ MI: [
901
+ { value: '506', label: 'ANN ARBOR VA MEDICAL CENTER' },
902
+ { value: '506GB', label: 'FLINT VA CLINIC' },
903
+ { value: '506GC', label: 'JACKSON CBOC' },
904
+ { value: '515', label: 'BATTLE CREEK VA MEDICAL CENTER' },
905
+ { value: '515BY', label: 'WYOMING HEALTH CARE CENTER' },
906
+ { value: '515GA', label: 'MUSKEGON VA CLINIC' },
907
+ { value: '515GB', label: 'LANSING CBOC' },
908
+ { value: '515GC', label: 'BENTON HARBOR VA CLINIC' },
909
+ { value: '553', label: 'JOHN D. DINGELL VAMC' },
910
+ { value: '553GA', label: 'YALE VA CLINIC' },
911
+ { value: '553GB', label: 'PONTIAC VA CLINIC' },
912
+ { value: '585', label: 'IRON MOUNTAIN VA MEDICAL CENTER' },
913
+ { value: '585GA', label: 'HANCOCK CBOC' },
914
+ { value: '585GC', label: 'MENOMINEE CBOC' },
915
+ { value: '585GD', label: 'IRONWOOD CBOC' },
916
+ { value: '585HA', label: 'MARQUETTE CBOC' },
917
+ { value: '585HB', label: 'SAULT SAINT MARIE CBOC' },
918
+ { value: '655', label: 'ALEDA E. LUTZ VAMC' },
919
+ { value: '655GA', label: 'GAYLORD VA OUTPATIENT CLINIC' },
920
+ { value: '655GB', label: 'TRAVERSE CITY VA CLINIC' },
921
+ { value: '655GC', label: 'OSCODA VA CLINIC' },
922
+ { value: '655GD', label: 'LT. COL CLEMENT VAN WAGONER VA' },
923
+ { value: '655GE', label: 'CLARE VA CLINIC' },
924
+ { value: '655GF', label: 'BAD AXE VA CLINIC' },
925
+ { value: '655GG', label: 'CADILLAC VA CLINIC' },
926
+ { value: '655GH', label: 'CHEBOYGAN COUNTY VA CLINIC' },
927
+ { value: '655GI', label: 'GRAYLING VA CLINIC' },
928
+ ],
929
+ MN: [
930
+ { value: '437GC', label: 'FERGUS FALLS' },
931
+ { value: '437GE', label: 'BEMIDJI CBOC' },
932
+ { value: '618', label: 'MINNEAPOLIS VA HCS' },
933
+ { value: '618GA', label: 'SOUTH CENTRAL CBOC' },
934
+ { value: '618GB', label: 'HIBBING (CBOC)' },
935
+ { value: '618GD', label: 'ST. PAUL (CBOC)' },
936
+ { value: '618GG', label: 'ROCHESTER (CBOC)' },
937
+ { value: '618GI', label: 'NORTHWEST METRO VA OPC' },
938
+ { value: '618GJ', label: 'SHAKOPEE CBOC' },
939
+ { value: '618GK', label: 'ALBERT LEA CBOC' },
940
+ { value: '618GL', label: 'MINNEAPOLIS VA CBOC' },
941
+ { value: '656', label: 'ST. CLOUD VA HEALTH CARE SYSTEM' },
942
+ { value: '656GA', label: 'BRAINERD VA COMMUNITY OUTPATIENT CLINIC' },
943
+ { value: '656GB', label: 'MONTEVIDEO CBOC' },
944
+ { value: '656GC', label: 'MAX J. BEILKE CBOC' },
945
+ ],
946
+ MO: [
947
+ { value: '564BY', label: 'MOUNT VERNON-SOC' },
948
+ { value: '564GC', label: 'BRANSON CBOC' },
949
+ { value: '589', label: 'VA HEARTLAND - WEST, VISN 15 (589)' },
950
+ { value: '589A4', label: 'HARRY S. TRUMAN VAMC' },
951
+ { value: '589G1', label: 'WARRENSBURG MO CBOC' },
952
+ { value: '589G8', label: 'JEFFERSON CITY, MO CBOC' },
953
+ { value: '589GB', label: 'BELTON VA CLINIC' },
954
+ { value: '589GD', label: 'NEVADA VA CLINIC' },
955
+ { value: '589GE', label: 'KIRKSVILLE VA CLINIC' },
956
+ { value: '589GF', label: 'FORT LEONARD WOOD VA CLINIC' },
957
+ { value: '589GG', label: 'WHITEMAN AFB CBOC' },
958
+ { value: '589GH', label: 'LAKE OF THE OZARKS VA CLINIC' },
959
+ { value: '589GI', label: 'ST. JOSEPH VA CLINIC' },
960
+ { value: '589GX', label: 'MEXICO CBOC (MO)' },
961
+ { value: '589GY', label: 'ST. JAMES VA CLINIC' },
962
+ { value: '589GZ', label: 'CAMERON CBOC' },
963
+ { value: '589JA', label: 'SEDALIA CBOC' },
964
+ { value: '589JB', label: 'EXCELSIOR SPRINGS CBOC' },
965
+ { value: '589JD', label: 'MARSHFIELD CBOC' },
966
+ { value: '589JE', label: 'PLATTE CITY VA CLINIC' },
967
+ { value: '589JF', label: 'HONOR VA CLINIC' },
968
+ { value: '657', label: 'VA HEARTLAND-EAST, VISN 15 HCS JOHN COCHRAN MEMORIAL HOSPITAL' },
969
+ { value: '657A0', label: 'VA HEARTLAND-EAST, VISN 15 HCS JEFFERSON BARRACKS' },
970
+ { value: '657A4', label: 'VA HEARTLAND-EAST, VISN 15 HCS JOHN PERSHING VA MEDICAL CENTER' },
971
+ { value: '657GB', label: 'ST LOUIS MO CBOC (657GB)' },
972
+ { value: '657GD', label: 'ST CHARLES MO CBOC (657GD)' },
973
+ { value: '657GF', label: 'WEST PLAINS MO CBOC (657GF)' },
974
+ { value: '657GH', label: 'CAPE GIRARDEAU MO CBOC (657GH)' },
975
+ { value: '657GI', label: 'FARMINTON MO CBOC (657GI)' },
976
+ { value: '657GN', label: 'SALEM MO MOBILE OUTREACH CLINIC (657GN)' },
977
+ { value: '657GS', label: 'WASHINGTON CBOC' },
978
+ { value: '657GV', label: 'SIKESTON CBOC' },
979
+ { value: '657GX', label: 'ST. LOUIS VA CLINIC' },
980
+ { value: '657GY', label: 'MANCHESTER VA CLINIC' },
981
+ ],
982
+ MP: [
983
+ { value: '459GH', label: 'SAIPAN VA CLINIC' },
984
+ ],
985
+ MS: [
986
+ { value: '520', label: 'BILOXI VA MEDICAL CENTER' },
987
+ { value: '520A0', label: 'GULFPORT VAMC' },
988
+ { value: '520BY', label: 'BILOXI OPC' },
989
+ { value: '586', label: 'G.V. (SONNY) MONTGOMERY' },
990
+ { value: '586GA', label: 'KOSCIUSKO VA CLINIC' },
991
+ { value: '586GB', label: 'MERIDIAN' },
992
+ { value: '586GC', label: 'GREENVILLE' },
993
+ { value: '586GD', label: 'HATTIESBURG' },
994
+ { value: '586GE', label: 'NATCHEZ' },
995
+ { value: '586GF', label: 'COLUMBUS' },
996
+ { value: '586GG', label: 'MCCOMB CBOC' },
997
+ { value: '614GA', label: 'TUPELO CBOC' },
998
+ { value: '614GC', label: 'MARSHALL COUNTY VA CLINIC' },
999
+ ],
1000
+ MT: [
1001
+ { value: '436A4', label: 'MILES CITY VA MEDICAL CENTER' },
1002
+ { value: '436GA', label: 'ANACONDA CBOC' },
1003
+ { value: '436GB', label: 'GREAT FALLS CBOC' },
1004
+ { value: '436GC', label: 'MISSOULA CBOC' },
1005
+ { value: '436GD', label: 'BOZEMAN VA CLINIC' },
1006
+ { value: '436GF', label: 'KALISPELL VA CLINIC' },
1007
+ { value: '436GH', label: 'BILLINGS VA CLINIC' },
1008
+ { value: '436GI', label: 'GLASGOW VA CLINIC' },
1009
+ { value: '436GJ', label: 'MILES CITY VA CLINIC' },
1010
+ { value: '436GK', label: 'GLENDIVE VA CLINIC' },
1011
+ { value: '436GL', label: 'CUT BANK VA CLINIC' },
1012
+ { value: '436GM', label: 'LEWISTON CBOC' },
1013
+ ],
1014
+ NC: [
1015
+ { value: '558', label: 'DURHAM VA MEDICAL CENTER' },
1016
+ { value: '558GA', label: 'GREENVILLE VA CLINIC NC' },
1017
+ { value: '558GB', label: 'RALEIGH VA CLINIC' },
1018
+ { value: '558GC', label: 'MOREHEAD CITY VA CLINIC' },
1019
+ { value: '558GD', label: 'DURHAM COUNTY VA CLINIC' },
1020
+ { value: '558GE', label: 'HILLANDALE ROAD VA CLINIC' },
1021
+ { value: '558GF', label: 'WAKE COUNTY VA CLINIC' },
1022
+ { value: '565', label: 'FAYETTEVILLE VA MEDICAL CENTER' },
1023
+ { value: '565GA', label: 'JACKSONVILLE VA CLINIC' },
1024
+ { value: '565GC', label: 'WILMINGTON VA CLINIC (NC)' },
1025
+ { value: '565GD', label: 'HAMLET VA CLINIC' },
1026
+ { value: '565GE', label: 'ROBESON COUNTY VA CLINIC' },
1027
+ { value: '565GF', label: 'GOLDSBORO VA CLINIC' },
1028
+ { value: '565GG', label: 'LEE COUNTY VA CLINIC' },
1029
+ { value: '565GH', label: 'BRUNSWICK COUNTY VA CLINIC' },
1030
+ { value: '565GI', label: 'VILLAGE GREEN VA CLINIC' },
1031
+ { value: '565GJ', label: 'JACKSONVILLE 2 VA CLINIC-NC' },
1032
+ { value: '565GK', label: 'FAYETTEVILLE VA CLINIC' },
1033
+ { value: '565GL', label: 'CUMBERLAND COUNTY VA CLINIC' },
1034
+ { value: '590GC', label: 'ALBEMARLE VA CLINIC' },
1035
+ { value: '637', label: 'CHARLES GEORGE VAMC' },
1036
+ { value: '637GA', label: 'FRANKLIN VA CLINIC' },
1037
+ { value: '637GB', label: 'RUTHERFORD COUNTY VA CLINIC' },
1038
+ { value: '659', label: 'W.G. HEFNER SALISBURY VAMC' },
1039
+ { value: '659BY', label: 'KERNERSVILLE VA CLINIC' },
1040
+ { value: '659BZ', label: 'SOUTH CHARLOTTE VA CLINIC' },
1041
+ { value: '659GA', label: 'NORTH CHARLOTTE VA CLINIC' },
1042
+ { value: '659GB', label: 'HICKORY CBOC' },
1043
+ { value: '659GC', label: 'PETERS CREEK VA CLINIC' },
1044
+ ],
1045
+ ND: [
1046
+ { value: '437GA', label: 'GRAFTON' },
1047
+ { value: '437GB', label: 'BISMARCK' },
1048
+ { value: '437GD', label: 'MINOT CBOC' },
1049
+ { value: '437GF', label: 'WILLISTON CBOC' },
1050
+ { value: '437GI', label: 'GRAND FORKS CBOC' },
1051
+ { value: '437GJ', label: 'STARK COUNTY VA CBOC' },
1052
+ { value: '437GK', label: 'STUTSMAN COUNTY VA CBOC' },
1053
+ { value: '437GL', label: 'DEVILS LAKE VA CBOC' },
1054
+ ],
1055
+ NE: [
1056
+ { value: '442GB', label: 'SIDNEY VA CLINC' },
1057
+ { value: '568HB', label: 'GORDON CBOC' },
1058
+ { value: '568HH', label: 'SCOTTSBLUFF CBOC' },
1059
+ { value: '636', label: 'VA CENTRAL PLAINS HEALTH NETWORK - OMAHA DIVISION' },
1060
+ { value: '636A4', label: 'VA NWIHS, GRAND ISLAND DIV' },
1061
+ { value: '636A5', label: 'VA CENTRAL PLAINS HEALTH NETWORK - LINCOLN DIVISION' },
1062
+ { value: '636GA', label: 'NORFOLK CBOC' },
1063
+ { value: '636GB', label: 'NORTH PLATTE CBOC' },
1064
+ { value: '636GL', label: 'BELLEVUE VA CBOC' },
1065
+ { value: '636GQ', label: 'HOLDREGE, NE CBOC' },
1066
+ { value: '636GV', label: 'O\'NEILL VA CBOC' },
1067
+ ],
1068
+ NH: [
1069
+ { value: '405HC', label: 'ST. JOHNSBURY VERMONT OUTREACH CLINIC' },
1070
+ { value: '405HE', label: 'KEENE OUT REACH CENTER' },
1071
+ { value: '608', label: 'MANCHESTER VAMC' },
1072
+ { value: '608GA', label: 'PORTSMOUTH CBOC' },
1073
+ { value: '608GC', label: 'SOMERSWORTH CBOC' },
1074
+ { value: '608GD', label: 'CONWAY CBOC' },
1075
+ { value: '608HA', label: 'TILTON CBOC' },
1076
+ ],
1077
+ NJ: [
1078
+ { value: '460GD', label: 'CAPE MAY (WILMINGTON)' },
1079
+ { value: '460HE', label: 'ATLANTIC COUNTY VA CLINIC' },
1080
+ { value: '460HG', label: 'CUMBERLAND COUNTY VA CLINIC' },
1081
+ { value: '561', label: 'NEW JERSEY HEALTH CARE SYSTEM - EAST ORANGE' },
1082
+ { value: '561A4', label: 'NEW JERSEY HEALTH CARE SYSTEM - LYONS CAMPUS' },
1083
+ { value: '561BY', label: 'NEWARK DTC' },
1084
+ { value: '561BZ', label: 'JAMES J HOWARD OUTPATIENT CLINIC' },
1085
+ { value: '561GA', label: 'HAMILTON CBOC' },
1086
+ { value: '561GB', label: 'ELIZABETH CBOC' },
1087
+ { value: '561GD', label: 'HACKENSACK CBOC' },
1088
+ { value: '561GE', label: 'JERSEY CITY CBOC' },
1089
+ { value: '561GF', label: 'PISCATAWAY CBOC' },
1090
+ { value: '561GH', label: 'MORRIS PLAINS CBOC' },
1091
+ { value: '561GI', label: 'TINTON FALLS CBOC' },
1092
+ { value: '561GJ', label: 'PATERSON CBOC' },
1093
+ { value: '642GA', label: 'FT. DIX (PHILADELPHIA) CBOC' },
1094
+ { value: '642GD', label: 'GLOUCESTER COUNTY VA CLINIC' },
1095
+ { value: '642GF', label: 'CAMDEN VA CLINIC' },
1096
+ ],
1097
+ NM: [
1098
+ { value: '501', label: 'RAYMOND G. MURPHY VAMC' },
1099
+ { value: '501G2', label: 'LAS VEGAS (CBOC)' },
1100
+ { value: '501GA', label: 'ARTESIA VA CLINIC' },
1101
+ { value: '501GB', label: 'FARMINGTON VA CLINIC' },
1102
+ { value: '501GC', label: 'SILVER CITY VA CLINIC' },
1103
+ { value: '501GD', label: 'GALLUP VA CLINIC' },
1104
+ { value: '501GE', label: 'ESPANOLA (CBOC)' },
1105
+ { value: '501GH', label: 'TRUTH OR CONSEQUENCES (CBOC)' },
1106
+ { value: '501GI', label: 'ALAMOGORDO VA CLINIC' },
1107
+ { value: '501GK', label: 'SANTA FE VA CLINIC' },
1108
+ { value: '501GM', label: 'NORTHWEST METRO VA CLINIC' },
1109
+ { value: '501GN', label: 'TAOS VA CLINIC' },
1110
+ { value: '501HB', label: 'RATON (CBOC)' },
1111
+ { value: '504BZ', label: 'CLOVIS OUTPATIENT CLINIC' },
1112
+ { value: '504HA', label: 'CLAYTON OUTPATIENT CLINIC' },
1113
+ { value: '519GB', label: 'HOBBS CBOC' },
1114
+ { value: '756GA', label: 'LAS CRUCES CBOC' },
1115
+ ],
1116
+ NV: [
1117
+ { value: '593', label: 'SOUTHERN NEVADA HCS' },
1118
+ { value: '593GC', label: 'PAHRUMP CBOC' },
1119
+ { value: '593GD', label: 'NORTHWEST PCC' },
1120
+ { value: '593GE', label: 'SOUTHEAST PCC' },
1121
+ { value: '593GF', label: 'SOUTHWEST PCC' },
1122
+ { value: '593GG', label: 'NORTHEAST PCC' },
1123
+ { value: '593GH', label: 'LAUGHLIN VA CBOC' },
1124
+ { value: '654', label: 'IOANNIS A. LOUGARIS VAMC' },
1125
+ { value: '654GB', label: 'CARSON VALLEY VA CLINIC' },
1126
+ { value: '654GC', label: 'LAHONTAN VALLEY VA CLINIC' },
1127
+ { value: '654GE', label: 'RENO EAST VA CLINIC' },
1128
+ { value: '660GC', label: 'ELY VA CLINIC' },
1129
+ ],
1130
+ NY: [
1131
+ { value: '526', label: 'BRONX VA HOSPITAL' },
1132
+ { value: '526GA', label: 'WHITE PLAINS CLINIC' },
1133
+ { value: '526GB', label: 'YONKERS CLINIC' },
1134
+ { value: '526GD', label: 'NORTH QUEENS CLINIC' },
1135
+ { value: '528', label: 'BUFFALO VA MEDICAL CENTER' },
1136
+ { value: '528A4', label: 'VA HEALTHCARE NETWORK UPSTATE NEW YORK SYSTEM VISN 2 - BATAVIA DIVISION' },
1137
+ { value: '528A5', label: 'CANANDAIGUA VA MEDICAL CENTER' },
1138
+ { value: '528A6', label: 'BATH VA MEDICAL CENTER' },
1139
+ { value: '528A7', label: 'SYRACUSE VA MEDICAL CENTER' },
1140
+ { value: '528A8', label: 'SAMUEL S. STRATTON VAMC' },
1141
+ { value: '528G1', label: 'MALONE CBOC' },
1142
+ { value: '528G2', label: 'WESTPORT CBOC' },
1143
+ { value: '528G3', label: 'SIDNEY CBOC' },
1144
+ { value: '528G4', label: 'ELMIRA CBOC' },
1145
+ { value: '528G5', label: 'AUBURN' },
1146
+ { value: '528G6', label: 'FONDA CBOC' },
1147
+ { value: '528G7', label: 'CATSKILL CBOC' },
1148
+ { value: '528G8', label: 'WELLSVILLE CBOC' },
1149
+ { value: '528G9', label: 'CORTLAND' },
1150
+ { value: '528GB', label: 'JAMESTOWN VA CLINIC' },
1151
+ { value: '528GC', label: 'DUNKIRK VA CLINIC' },
1152
+ { value: '528GD', label: 'NIAGARA FALLS VA CLINIC' },
1153
+ { value: '528GE', label: 'ROCHESTER OPC' },
1154
+ { value: '528GG', label: 'LYONS CBOC' },
1155
+ { value: '528GH', label: 'ITHACA CBOC' },
1156
+ { value: '528GK', label: 'LOCKPORT' },
1157
+ { value: '528GL', label: 'MASSENA CBOC' },
1158
+ { value: '528GM', label: 'ROME CBOC' },
1159
+ { value: '528GN', label: 'BINGHAMTON CBOC' },
1160
+ { value: '528GO', label: 'WATERTOWN CBOC' },
1161
+ { value: '528GP', label: 'OSWEGO CBOC' },
1162
+ { value: '528GQ', label: 'LACKAWANNA CBOC' },
1163
+ { value: '528GR', label: 'OLEAN CBOC' },
1164
+ { value: '528GT', label: 'GLENS FALLS CBOC' },
1165
+ { value: '528GV', label: 'PLATTSBURGH' },
1166
+ { value: '528GW', label: 'SCHENECTADY CBOC' },
1167
+ { value: '528GX', label: 'TROY CBOC' },
1168
+ { value: '528GY', label: 'CLIFTON PARK CBOC' },
1169
+ { value: '528GZ', label: 'KINGSTON CBOC' },
1170
+ { value: '620', label: 'VA HUDSON VALLEY HEALTH CARE SYSTEM - MONTROSE DIVISION' },
1171
+ { value: '620A4', label: 'VA HUDSON VALLEY HEALTH CARE - CASTLE POINT DIVISION' },
1172
+ { value: '620GA', label: 'NEW CITY' },
1173
+ { value: '620GB', label: 'PUTNAM COUNTY' },
1174
+ { value: '620GD', label: 'GOSHEN CBOC' },
1175
+ { value: '620GE', label: 'PORT JERVIS' },
1176
+ { value: '620GF', label: 'HARRIS' },
1177
+ { value: '620GG', label: 'POUGHKEEPSIE' },
1178
+ { value: '620GH', label: 'EASTERN DUTCHESS CBOC' },
1179
+ { value: '630', label: 'VA NEW YORK HARBOR HEALTHCARE SYSTEM - NEW YORK DIVISION' },
1180
+ { value: '630A4', label: 'VA NEW YORK HARBOR HEALTHCARE SYSTEM - BROOKLYN DIVISION' },
1181
+ { value: '630A5', label: 'ST ALBANS EXTENDED CARE CNTR' },
1182
+ { value: '630GA', label: 'HARLEM CBOC-NYHHS' },
1183
+ { value: '630GB', label: 'STATEN ISLAND CBOC-NYHHCS' },
1184
+ { value: '630GC', label: 'CHAPEL STREET OPC' },
1185
+ { value: '632', label: 'NORTHPORT VAMC NY' },
1186
+ { value: '632GA', label: 'EAST MEADOW CBOC' },
1187
+ { value: '632HA', label: 'VALLEY STREAM CBOC' },
1188
+ { value: '632HB', label: 'RIVERHEAD,NY ORC' },
1189
+ { value: '632HC', label: 'BAY SHORE CBOC' },
1190
+ { value: '632HD', label: 'PATCHOGUE,NY ORC' },
1191
+ ],
1192
+ OH: [
1193
+ { value: '506GA', label: 'TOLEDO VA CLINIC' },
1194
+ { value: '538', label: 'CHILLICOTHE VA MEDICAL CENTER' },
1195
+ { value: '538GA', label: 'ATHENS VA CLINIC' },
1196
+ { value: '538GB', label: 'PORTSMOUTH VA CLINIC' },
1197
+ { value: '538GC', label: 'MARIETTA VA CLINIC' },
1198
+ { value: '538GD', label: 'LANCASTER VA CLINIC' },
1199
+ { value: '538GE', label: 'CAMBRIDGE VA CLINIC' },
1200
+ { value: '538GF', label: 'WILMINGTON VA CLINIC (OH)' },
1201
+ { value: '539', label: 'CINCINNATI VAMC' },
1202
+ { value: '539GB', label: 'CINCINNATI (CLERMONT COUNTY)' },
1203
+ { value: '539GE', label: 'HAMILTON OHIO CBOC' },
1204
+ { value: '539GF', label: 'GEORGETOWN CBOC' },
1205
+ { value: '541', label: 'CLEVELAND VAMC' },
1206
+ { value: '541BY', label: 'CANTON CBOC' },
1207
+ { value: '541BZ', label: 'YOUNGSTOWN CBOC' },
1208
+ { value: '541GB', label: 'LORAIN CBOC' },
1209
+ { value: '541GC', label: 'SANDUSKY CBOC' },
1210
+ { value: '541GD', label: 'MANSFIELD CBOC' },
1211
+ { value: '541GE', label: 'MCCAFERTY CBOC' },
1212
+ { value: '541GF', label: 'PAINSVILLE CBOC' },
1213
+ { value: '541GG', label: 'AKRON CBOC' },
1214
+ { value: '541GH', label: 'EAST LIVERPOOL CBOC' },
1215
+ { value: '541GI', label: 'WARREN CBOC' },
1216
+ { value: '541GJ', label: 'NEW PHILADELPHIA CBOC' },
1217
+ { value: '541GK', label: 'RAVENNA CBOC' },
1218
+ { value: '541GL', label: 'PARMA CBOC' },
1219
+ { value: '541GM', label: 'CLEVELAND AMBULATORY CTR CBOC' },
1220
+ { value: '541GN', label: 'STATE STREET VA CLINIC' },
1221
+ { value: '552', label: 'DAYTON, OH VAMC' },
1222
+ { value: '552GA', label: 'MIDDLETOWN CBOC' },
1223
+ { value: '552GB', label: 'LIMA CBOC' },
1224
+ { value: '552GD', label: 'SPRINGFIELD CBOC' },
1225
+ { value: '562GB', label: 'ASHTABULA COUNTY VA CLINIC' },
1226
+ { value: '581GG', label: 'GALLIPOLIS VA CLINIC' },
1227
+ { value: '646GA', label: 'BELMONT COUNTY VA CLINIC' },
1228
+ { value: '757', label: 'CHALMERS P. WYLIE VA AMBULATORY CARE CENTER (757)' },
1229
+ { value: '757GA', label: 'ZANESVILLE CBOC' },
1230
+ { value: '757GB', label: 'GROVE CITY CBOC' },
1231
+ { value: '757GC', label: 'MARION CBOC' },
1232
+ { value: '757GD', label: 'NEWARK CBOC' },
1233
+ ],
1234
+ OK: [
1235
+ { value: '564GE', label: 'JAY CBOC' },
1236
+ { value: '623', label: 'MUSKOGEE, OK VAMC' },
1237
+ { value: '623BY', label: 'TULSA, OK CBOC' },
1238
+ { value: '623GA', label: 'HARTSHORNE CBOC' },
1239
+ { value: '623GB', label: 'VINITA CBOC' },
1240
+ { value: '635', label: 'OKLAHOMA CITY VA MEDICAL CENTER' },
1241
+ { value: '635GA', label: 'LAWTON/FT. SILL VA OUTPATIENT CLINIC' },
1242
+ { value: '635GC', label: 'BLACKWELL CBOC' },
1243
+ { value: '635GD', label: 'ADA CBOC' },
1244
+ { value: '635GE', label: 'STILLWATER CBOC' },
1245
+ { value: '635GF', label: 'ALTUS CBOC' },
1246
+ { value: '635GG', label: 'ENID CBOC' },
1247
+ { value: '635HB', label: 'ARDMORE VETERANS CENTER CLINIC' },
1248
+ { value: '635QB', label: 'SOUTH OKLAHOMA CITY VA CLINIC' },
1249
+ ],
1250
+ OR: [
1251
+ { value: '531GH', label: 'BURNS VA CLINIC' },
1252
+ { value: '648', label: 'PORTLAND VA MEDICAL CENTER' },
1253
+ { value: '648GA', label: 'BEND, OR CBOC' },
1254
+ { value: '648GB', label: 'SALEM VA CLINIC' },
1255
+ { value: '648GD', label: 'NORTH COAST VA CLINIC' },
1256
+ { value: '648GE', label: 'EAST PORTLAND VA CLINIC' },
1257
+ { value: '648GF', label: 'HILLSBORO VA CLINIC' },
1258
+ { value: '648GG', label: 'WEST LINN CBOC' },
1259
+ { value: '648GH', label: 'NEWPORT VA CLINIC' },
1260
+ { value: '648GI', label: 'PORTLAND VA CLINIC' },
1261
+ { value: '648GJ', label: 'THE DALLES VA CLINIC' },
1262
+ { value: '653', label: 'ROSEBURG VA MEDICAL CENTER' },
1263
+ { value: '653BY', label: 'EUGENE, OR CBOC' },
1264
+ { value: '653GA', label: 'NORTH BEND VA CLINIC' },
1265
+ { value: '653GB', label: 'BROOKINGS VA CLINIC' },
1266
+ { value: '687GC', label: 'LA GRANDE CBOC' },
1267
+ { value: '692', label: 'WHITE CITY VA MEDICAL CENTER' },
1268
+ { value: '692GA', label: 'KLAMATH FALLS VA CLINIC' },
1269
+ { value: '692GB', label: 'GRANTS PASS CBOC' },
1270
+ ],
1271
+ PA: [
1272
+ { value: '503', label: 'JAMES E VAN ZANDT VAMC' },
1273
+ { value: '503GA', label: 'JOHNSTOWN VA CLINIC' },
1274
+ { value: '503GB', label: 'DUBOIS CBOC' },
1275
+ { value: '503GC', label: 'STATE COLLEGE VA CLINIC' },
1276
+ { value: '503GD', label: 'HUNTINGDON COUNTY VA CLINIC' },
1277
+ { value: '503GE', label: 'INDIANA COUNTY VA CLINIC' },
1278
+ { value: '529', label: 'BUTLER VA MEDICAL CENTER' },
1279
+ { value: '529GA', label: 'MICHAEL A. MARZANO VA OPC' },
1280
+ { value: '529GB', label: 'LAWRENCE COUNTY VA CLINIC' },
1281
+ { value: '529GC', label: 'ARMSTRONG COUNTY VA CLINIC' },
1282
+ { value: '529GD', label: 'CLARION COUNTY VA CLINIC' },
1283
+ { value: '529GF', label: 'CRANBERRY TOWNSHIP VA CLINIC' },
1284
+ { value: '542', label: 'COATESVILLE VA MEDICAL CENTER' },
1285
+ { value: '542GA', label: 'MEDIA CBOC' },
1286
+ { value: '542GE', label: 'SPRING CITY VA CLINIC' },
1287
+ { value: '562', label: 'ERIE VA MEDICAL CENTER' },
1288
+ { value: '562GA', label: 'CRAWFORD COUNTY VA CLINIC' },
1289
+ { value: '562GC', label: 'MCKEAN COUNTY VA CLINIC' },
1290
+ { value: '562GD', label: 'VENANGO COUNTY VA CLINIC' },
1291
+ { value: '562GE', label: 'WARREN COUNTY CLINIC' },
1292
+ { value: '595', label: 'LEBANON VA MEDICAL CENTER' },
1293
+ { value: '595GA', label: 'CAMP HILL VA CLINIC' },
1294
+ { value: '595GC', label: 'LANCASTER VA CLINIC' },
1295
+ { value: '595GD', label: 'BERKS VA OUTPATIENT CLINIC' },
1296
+ { value: '595GE', label: 'YORK VA CLINIC' },
1297
+ { value: '595GF', label: 'POTTSVILLE VA CLINIC' },
1298
+ { value: '595QA', label: 'FORT INDIANTOWN GAP VA CLINIC' },
1299
+ { value: '642', label: 'PHILADELPHIA, PA VAMC' },
1300
+ { value: '642GC', label: 'VICTOR J. SARACINI VA OPC' },
1301
+ { value: '642QA', label: 'CHESTNUT STREET VA CLINIC' },
1302
+ { value: '646', label: 'PITTSBURGH VAMC UNIVERSITY DR.' },
1303
+ { value: '646A4', label: 'H. JOHN HEINZ III VAMC' },
1304
+ { value: '646GB', label: 'WESTMORELAND COUNTY VA CLINIC' },
1305
+ { value: '646GC', label: 'BEAVER COUNTY VA CLINIC' },
1306
+ { value: '646GD', label: 'WASHINGTON VA PRIMARY CARE OUTPATIENT CLINIC' },
1307
+ { value: '646GE', label: 'FAYETTE COUNTY VA CLINIC' },
1308
+ { value: '693', label: 'WILKES-BARRE VAMC' },
1309
+ { value: '693B4', label: 'ALLENTOWN OPC' },
1310
+ { value: '693GA', label: 'SAYRE OPC' },
1311
+ { value: '693GB', label: 'WILLIAMSPORT VA CLINIC' },
1312
+ { value: '693GC', label: 'TOBYHANNA VA CLINIC' },
1313
+ { value: '693GD', label: 'WILKES-BARRE (CBOC)' },
1314
+ { value: '693GE', label: 'SCHUYLKILL COUNTY CBOC' },
1315
+ { value: '693GF', label: 'COLUMBIA COUNTY VA CLINIC' },
1316
+ { value: '693GG', label: 'NORTHAMPTON COUNTY CLINIC' },
1317
+ ],
1318
+ POSTALNAME: [
1319
+ { value: 'STATIONNUMBER', label: 'NAME' },
1320
+ ],
1321
+ PR: [
1322
+ { value: '672', label: 'SAN JUAN VA MEDICAL CENTER' },
1323
+ { value: '672B0', label: 'PONCE OUTPATIENT CLINIC' },
1324
+ { value: '672BZ', label: 'MAYAGUEZ OUTPATIENT CLINIC' },
1325
+ { value: '672GC', label: 'ARECIBO VETERANS CLINIC (CBOC)' },
1326
+ { value: '672GD', label: 'CEIBA VA CLINIC' },
1327
+ { value: '672GE', label: 'GUAYAMA VA CLINIC' },
1328
+ ],
1329
+ RI: [
1330
+ { value: '650', label: 'PROVIDENCE VAMC' },
1331
+ { value: '650GD', label: 'MIDDLETOWN CBOC' },
1332
+ ],
1333
+ SC: [
1334
+ { value: '509GB', label: 'AIKEN CBOC' },
1335
+ { value: '534', label: 'RALPH H. JOHNSON VA MEDICAL CENTER (534)' },
1336
+ { value: '534GB', label: 'MYRTLE BEACH PRIMARY CARE CLINIC' },
1337
+ { value: '534GC', label: 'BEAUFORT PRIMARY CARE CLINIC' },
1338
+ { value: '534GD', label: 'GOOSE CREEK CBOC' },
1339
+ { value: '534GF', label: 'NORTH CHARLESTON VA CBOC' },
1340
+ { value: '544', label: 'WM JENNINGS BRYAN DORN VETERANS AFFAIRS MEDICAL CENTER' },
1341
+ { value: '544BZ', label: 'GREENVILLE VA CLINIC SC' },
1342
+ { value: '544GB', label: 'FLORENCE CBOC' },
1343
+ { value: '544GC', label: 'ROCK HILL CBOC' },
1344
+ { value: '544GD', label: 'ANDERSON CBOC' },
1345
+ { value: '544GE', label: 'ORANGEBURG CBOC' },
1346
+ { value: '544GF', label: 'SUMTER CBOC' },
1347
+ { value: '544GG', label: 'SPARTANBURG CBOC' },
1348
+ ],
1349
+ SD: [
1350
+ { value: '438GD', label: 'ABERDEEN CBOC' },
1351
+ { value: '438GE', label: 'WAGNER CBOC' },
1352
+ { value: '438GF', label: 'WATERTOWN CBOC' },
1353
+ { value: '568', label: 'BLACK HILLS HEALTH CARE SYSTEM - FT. MEADE DIVISION' },
1354
+ { value: '568A4', label: 'HOT SPRINGS, SD MC' },
1355
+ { value: '568GA', label: 'RAPID CITY CBOC' },
1356
+ { value: '568GB', label: 'PIERRE CBOC' },
1357
+ { value: '568HF', label: 'PINE RIDGE' },
1358
+ { value: '568HJ', label: 'MISSION CBOC' },
1359
+ { value: '568HK', label: 'MCLAUGHLIN' },
1360
+ { value: '568HM', label: 'EAGLE BUTTE' },
1361
+ { value: '568HP', label: 'WINNER' },
1362
+ ],
1363
+ TN: [
1364
+ { value: '614', label: 'MEMPHIS VA MEDICAL CENTER' },
1365
+ { value: '614GD', label: 'SAVANNAH VA CLINIC' },
1366
+ { value: '614GE', label: 'COVINGTON VA CLINIC' },
1367
+ { value: '614GF', label: 'MEMPHIS SOUTH VA CLINIC' },
1368
+ { value: '614GG', label: 'JACKSON VA CLINIC' },
1369
+ { value: '614GH', label: 'BOLIVAR CBOC' },
1370
+ { value: '614GI', label: 'DYERSBURG VA CLINIC' },
1371
+ { value: '621', label: 'JAMES H. QUILLEN VAMC' },
1372
+ { value: '621BY', label: 'WILLIAM C. TALLENT VA OPC' },
1373
+ { value: '621GA', label: 'ROGERSVILLE VA CLINIC' },
1374
+ { value: '621GG', label: 'MORRISTOWN VA CLINIC' },
1375
+ { value: '621GI', label: 'SEVIERVILLE VA CLINIC' },
1376
+ { value: '621GK', label: 'CAMPBELL COUNTY VA CLINIC' },
1377
+ { value: '626', label: 'NASHVILLE VA MEDICAL CENTER' },
1378
+ { value: '626A4', label: 'ALVIN C. YORK VAMC' },
1379
+ { value: '626GA', label: 'DOVER VA CLINIC' },
1380
+ { value: '626GE', label: 'CLARKSVILLE VA CLINIC' },
1381
+ { value: '626GF', label: 'CHATTANOOGA VA CLINIC' },
1382
+ { value: '626GG', label: 'TULLAHOMA COMMUNITY BASED OUTPATIENT CLINIC' },
1383
+ { value: '626GH', label: 'COOKEVILLE VA CLINIC' },
1384
+ { value: '626GK', label: 'MCMINNVILLE VA CLINIC' },
1385
+ { value: '626GL', label: 'ROANE COUNTY VA CLINIC' },
1386
+ { value: '626GM', label: 'MAURY COUNTY CBOC' },
1387
+ ],
1388
+ TX: [
1389
+ { value: '504', label: 'AMARILLO HCS' },
1390
+ { value: '504BY', label: 'LUBBOCK OUTPATIENT CLINIC' },
1391
+ { value: '504GA', label: 'CHILDRESS OUTPATIENT CLINIC' },
1392
+ { value: '504HB', label: 'DALHART CBOC' },
1393
+ { value: '519', label: 'WEST TEXAS VA HEALTH CARE SYSTEM - BIG SPRING DIVISION' },
1394
+ { value: '519GA', label: 'PERMIAN BASIN CBOC' },
1395
+ { value: '519GD', label: 'FT. STOCKTON CBOC' },
1396
+ { value: '519HC', label: 'ABILENE CBOC' },
1397
+ { value: '519HD', label: 'STAMFORD CBOC' },
1398
+ { value: '519HF', label: 'SAN ANGELO CBOC' },
1399
+ { value: '549', label: 'DALLAS VA MEDICAL CENTER' },
1400
+ { value: '549A4', label: 'SAM RAYBURN MEM VET CENTER' },
1401
+ { value: '549BY', label: 'FORT WORTH VA CLINIC' },
1402
+ { value: '549GA', label: 'TYLER VA CLINIC' },
1403
+ { value: '549GB', label: 'NORTH TEXAS HEALTH CARE SYSTEM - DALLAS CBOC' },
1404
+ { value: '549GC', label: 'BONHAM VA CLINIC' },
1405
+ { value: '549GD', label: 'DENTON VA CLINIC' },
1406
+ { value: '549GE', label: 'BRIDGEPORT VA CLINIC' },
1407
+ { value: '549GF', label: 'GRANBURY VA CLINIC' },
1408
+ { value: '549GH', label: 'GREENVILLE VA CLINIC TX' },
1409
+ { value: '549GI', label: 'NORTH TEXAS HEALTH CARE SYSTEM - CLEBURNE CBOC' },
1410
+ { value: '549GJ', label: 'SHERMAN VA CLINIC' },
1411
+ { value: '549GK', label: 'POLK STREET VA CLINIC' },
1412
+ { value: '580', label: 'MICHAEL E. DEBAKEY VA MEDICAL CENTER' },
1413
+ { value: '580BY', label: 'BEAUMONT' },
1414
+ { value: '580BZ', label: 'LUFKIN OUTPATIENT CLINIC' },
1415
+ { value: '580GA', label: 'HOUSTON CBOC' },
1416
+ { value: '580GC', label: 'GALVESTON COUNTY VA CLINIC' },
1417
+ { value: '580GD', label: 'CONROE CBOC' },
1418
+ { value: '580GE', label: 'KATY CBOC' },
1419
+ { value: '580GF', label: 'LAKE JACKSON CBOC' },
1420
+ { value: '580GG', label: 'RICHMOND CBOC' },
1421
+ { value: '580GH', label: 'TOMBALL CBOC' },
1422
+ { value: '580GJ', label: 'TEXAS CITY VA CLINIC' },
1423
+ { value: '635GB', label: 'WICHITA FALLS CBOC VETERANS CLINIC OF NORTH TEXAS' },
1424
+ { value: '667GC', label: 'LONGVIEW CBOC' },
1425
+ { value: '671', label: 'AUDIE L. MURPHY MEMORIAL HOSP' },
1426
+ { value: '671A4', label: 'KERRVILLE VA MEDICAL CENTER' },
1427
+ { value: '671B0', label: 'SOUTH TEXAS HEALTH CARE SYSTEM - MC ALLEN OUTPATIENT CLINIC' },
1428
+ { value: '671BY', label: 'FRANK M. TEJEDA VA OPC' },
1429
+ { value: '671BZ', label: 'SOUTH TEXAS HEALTH CARE SYSTEM - CORPUS CHRISTI OUTPATIENT CLINIC' },
1430
+ { value: '671GA', label: 'VA HARLINGEN OUTPATIENT CLINIC' },
1431
+ { value: '671GB', label: 'VICTORIA VA CLINIC' },
1432
+ { value: '671GC', label: 'DEL RIO VA CLINIC' },
1433
+ { value: '671GD', label: 'UNITED MEDICAL CENTERS' },
1434
+ { value: '671GE', label: 'SOUTH TEXAS HEALTH CARE SYSTEM - LAREDO OUTPATIENT CLINIC' },
1435
+ { value: '671GF', label: 'SOUTH BEXAR COUNTY VA CLINIC' },
1436
+ { value: '671GG', label: 'CHRISTUS SPOHN SAN DIEGO FAMILY HEALTH CLINIC' },
1437
+ { value: '671GH', label: 'BEEVILLE VA CLINIC' },
1438
+ { value: '671GI', label: 'CHRISTUS SPOHN BISHOP FAMILY HEALTH CLINIC' },
1439
+ { value: '671GJ', label: 'UVALDE VA CLINIC' },
1440
+ { value: '671GK', label: 'SAN ANTONIO VA CLINIC' },
1441
+ { value: '671GL', label: 'NEW BRAUNFELS VA CLINIC' },
1442
+ { value: '671GN', label: 'SEGUIN VA CLINIC' },
1443
+ { value: '671GO', label: 'NORTH CENTRAL FED VA CLINIC' },
1444
+ { value: '671GP', label: 'BALCONES HEIGHTS VA CLINIC' },
1445
+ { value: '671GQ', label: 'SHAVANO PARK VA CLINIC' },
1446
+ { value: '674', label: 'OLIN E. TEAGUE VET CENTER' },
1447
+ { value: '674A4', label: 'WACO, TX VAMC' },
1448
+ { value: '674BY', label: 'AUSTIN VA CLINIC' },
1449
+ { value: '674GA', label: 'PALESTINE VA CLINIC' },
1450
+ { value: '674GB', label: 'BROWNWOOD VA CLINIC' },
1451
+ { value: '674GC', label: 'BRYAN VA CLINIC' },
1452
+ { value: '674GD', label: 'CEDAR PARK VA CLINIC' },
1453
+ { value: '674GF', label: 'TEMPLE VA CLINIC' },
1454
+ { value: '740', label: 'HARLINGEN VA CLINIC' },
1455
+ { value: '740GA', label: 'HARLINGEN OPC' },
1456
+ { value: '740GB', label: 'MCALLEN OPC' },
1457
+ { value: '740GC', label: 'CORPUS CHRISTI OPC' },
1458
+ { value: '740GD', label: 'LAREDO OPC' },
1459
+ { value: '740GE', label: 'EAGLE PASS CBOC' },
1460
+ { value: '740GH', label: 'SOUTH ENTERPRIZE VA CLINIC' },
1461
+ { value: '740GI', label: 'OLD BROWNSVILLE VA CLINIC' },
1462
+ { value: '740GJ', label: 'NORTH TENTH STREET VA CLINIC' },
1463
+ { value: '755', label: 'SAN ANTONIO OPC' },
1464
+ { value: '756GB', label: 'EL PASO EASTSIDE CBOC' },
1465
+ ],
1466
+ UT: [
1467
+ { value: '660', label: 'GEORGE E. WAHLEN VAMC' },
1468
+ { value: '660GB', label: 'OGDEN VA CLINIC' },
1469
+ { value: '660GD', label: 'ROOSEVELT VA CLINIC' },
1470
+ { value: '660GE', label: 'OREM VA CLINIC' },
1471
+ { value: '660GG', label: 'ST. GEORGE VA CLINIC' },
1472
+ { value: '660GJ', label: 'WESTERN SALT LAKE VA CLINIC' },
1473
+ ],
1474
+ VA: [
1475
+ { value: '590', label: 'HAMPTON VA MEDICAL CENTER' },
1476
+ { value: '590GB', label: 'VIRGINIA BEACH VA CLINIC' },
1477
+ { value: '590GD', label: 'CHESAPEAKE VA CLINIC' },
1478
+ { value: '613GC', label: 'STEPHENS CITY VA CLINIC' },
1479
+ { value: '613GF', label: 'HARRISONBURG VA CLINIC' },
1480
+ { value: '621GC', label: 'NORTON VA CLINIC' },
1481
+ { value: '621GJ', label: 'BRISTOL VA CLINIC' },
1482
+ { value: '652', label: 'HUNTER HOLMES MCGUIRE HOSPITAL' },
1483
+ { value: '652GA', label: 'FREDERICKSBURG VA CLINIC' },
1484
+ { value: '652GE', label: 'CHARLOTTESVILLE VA CLINIC' },
1485
+ { value: '652GF', label: 'EMPORIA VA CLINIC' },
1486
+ { value: '652GG', label: 'RICHMOND VA MOBILE CLINIC' },
1487
+ { value: '652GH', label: 'HUNTER HOLMES MCGUIRE 2 MOB CL' },
1488
+ { value: '658', label: 'SALEM VA MEDICAL CENTER' },
1489
+ { value: '658GA', label: 'TAZEWELL VA CLINIC' },
1490
+ { value: '658GB', label: 'DANVILLE VA CLINIC' },
1491
+ { value: '658GC', label: 'LYNCHBURG VA CLINIC' },
1492
+ { value: '658GD', label: 'STAUNTON CBOC' },
1493
+ { value: '658GE', label: 'WYTHEVILLE VA CLINIC' },
1494
+ { value: '688GA', label: 'FORT BELVOIR VA CLINIC' },
1495
+ ],
1496
+ VI: [
1497
+ { value: '672GA', label: 'ST.CROIX VETERANS CLINIC' },
1498
+ { value: '672GB', label: 'ST.THOMAS VETERANS CLINIC' },
1499
+ ],
1500
+ VT: [
1501
+ { value: '405GA', label: 'BENNINGTON VERMONT OUTREACH CLINIC' },
1502
+ { value: '405GC', label: 'BRATTLEBORO CBOC' },
1503
+ { value: '405HA', label: 'BURLINGTON LAKESIDE CBOC' },
1504
+ { value: '405HF', label: 'RUTLAND VERMONT OUTREACH CLINIC' },
1505
+ ],
1506
+ WA: [
1507
+ { value: '648A4', label: 'VANCOUVER,WA DIV PORTLAND VAMC' },
1508
+ { value: '663', label: 'SEATTLE VA MEDICAL CENTER' },
1509
+ { value: '663A4', label: 'PUGET SOUND HEALTH CARE SYSTEM - AMERICAN LAKE DIVISION' },
1510
+ { value: '663GA', label: 'BELLEVUE VA CLINIC' },
1511
+ { value: '663GB', label: 'BREMERTON VA CLINIC' },
1512
+ { value: '663GC', label: 'MOUNT VERNON VA CLINIC' },
1513
+ { value: '663GD', label: 'SOUTH SOUND VA CLINIC' },
1514
+ { value: '663GE', label: 'PORT ANGELES VA CBOC' },
1515
+ { value: '668', label: 'MANN-GRANDSTAFF VAMC' },
1516
+ { value: '668GA', label: 'WENATCHEE VA CLINIC' },
1517
+ { value: '687', label: 'JONATHAN M. WAINWRIGHT VAMC' },
1518
+ { value: '687GA', label: 'RICHLAND VA CLINIC' },
1519
+ { value: '687HA', label: 'YAKIMA CBOC' },
1520
+ ],
1521
+ WI: [
1522
+ { value: '556GD', label: 'KENOSHA CBOC' },
1523
+ { value: '585GB', label: 'RHINELANDER CBOC' },
1524
+ { value: '607', label: 'WILLIAM S. MIDDLETON MEMORIAL VA HOSPITAL' },
1525
+ { value: '607GC', label: 'JANESVILLE, WI CBOC' },
1526
+ { value: '607GD', label: 'BARABOO, WI CBOC' },
1527
+ { value: '607GE', label: 'BEAVER DAM, WI CBOC' },
1528
+ { value: '607GG', label: 'MADISON WEST VA CLINIC' },
1529
+ { value: '618BY', label: 'TWIN PORTS CBOC' },
1530
+ { value: '618GE', label: 'CHIPPEWA VALLEY CBOC' },
1531
+ { value: '618GH', label: 'HAYWARD CBOC' },
1532
+ { value: '618GM', label: 'RICE LAKE VA CBOC' },
1533
+ { value: '676', label: 'TOMAH VAMC' },
1534
+ { value: '676GA', label: 'WAUSAU CBOC' },
1535
+ { value: '676GB', label: 'LEAVENWORTH, WI CBOC' },
1536
+ { value: '676GC', label: 'LACROSSE CBOC' },
1537
+ { value: '676GD', label: 'WISCONSIN RAPIDS CBOC' },
1538
+ { value: '676GE', label: 'CLARK COUNTY CBOC' },
1539
+ { value: '695', label: 'CLEMENT J ZABLOCKI' },
1540
+ { value: '695BY', label: 'FOX VALLEY' },
1541
+ { value: '695GA', label: 'UNION GROVE' },
1542
+ { value: '695GC', label: 'CLEVELAND CBOC' },
1543
+ { value: '695GD', label: 'MILO C. HUEMPFNER CBOC' },
1544
+ ],
1545
+ WV: [
1546
+ { value: '517', label: 'BECKLEY VA MEDICAL CENTER' },
1547
+ { value: '517GB', label: 'GREENBRIER COUNTY VA CLINIC' },
1548
+ { value: '540', label: 'LOUIS A JOHNSON VAMC' },
1549
+ { value: '540GA', label: 'TUCKER COUNTY VA CLINIC' },
1550
+ { value: '540GB', label: 'CLARKSBURG/WOOD' },
1551
+ { value: '540GC', label: 'BRAXTON COUNTY VA CLINIC' },
1552
+ { value: '540GD', label: 'MONONGALIA COUNTY VA CLINIC' },
1553
+ { value: '581', label: 'HUNTINGTON VAMC' },
1554
+ { value: '581GB', label: 'CHARLESTON VA CLINIC' },
1555
+ { value: '581GH', label: 'LENORE VA CLINIC' },
1556
+ { value: '613', label: 'MARTINSBURG VA MEDICAL CENTER' },
1557
+ { value: '613GD', label: 'FRANKLIN VA CLINIC' },
1558
+ { value: '613GE', label: 'PETERSBURG VA CLINIC' },
1559
+ ],
1560
+ WY: [
1561
+ { value: '442MB', label: 'IDES SHERIDAN VAMC' },
1562
+ { value: '568HA', label: 'NEWCASTLE' },
1563
+ { value: '666', label: 'SHERIDAN VA MEDICAL CENTER' },
1564
+ { value: '666GB', label: 'CASPER CBOC' },
1565
+ { value: '666GC', label: 'RIVERTON VA CLINIC' },
1566
+ { value: '666GD', label: 'POWELL VA CLINIC' },
1567
+ { value: '666GE', label: 'GILLETTE VA CLINIC' },
1568
+ { value: '666GF', label: 'ROCK SPRINGS CBOC' },
1569
+ ],
1570
+ };
1571
+
1572
+ const childRelationships = [
1573
+ 'Daughter',
1574
+ 'Son',
1575
+ 'Stepson',
1576
+ 'Stepdaughter'
1577
+ ];
1578
+
1579
+ const yesNo = [
1580
+ { label: 'Yes', value: 'Y' },
1581
+ { label: 'No', value: 'N' }
1582
+ ];
1583
+
1584
+ module.exports = {
1585
+ countries,
1586
+ maritalStatuses,
1587
+ branchesServed,
1588
+ dischargeTypes,
1589
+ states,
1590
+ suffixes,
1591
+ genders,
1592
+ months,
1593
+ days,
1594
+ vaMedicalFacilities,
1595
+ childRelationships,
1596
+ yesNo
1597
+ };