Malcom Randall Department of Veterans Affairs Medical Center

The Substance Use Disorder (SUD) Team offers services designed to assist Veterans overcome addiction and mental illness through psychotherapy, education, support, and medication-assisted treatment. They also treat Veterans with co-occurring substance use disorder and PTSD. Veterans can be seen by a Case Manager as a walk in during business hours and then provided with an assessment to determine which level of care listed below is the most appropriate within this clinic.  Areas without separate SUD Specialty Clinics can also access services for Substance Use Disorders either within Mental Health Clinics or via Telehealth Services. Some of the SUD programs listed below may not be available within each location and Veterans may be eligible to utilize community providers/programs, if necessary. Substance Use Disorders has 4 programs: Ambulatory Detox, Intensive Outpatient, Outpatient, Residential Rehab.

Learn more about our VA treatment programs

The registered nurses on our Nurse Advice Line provide you and your family with helpful medical advice and free, confidential answers to many of your health care questions. Call anytime. We’re here 24 hours a day, 7 days a week. In addition, our nurses can:

• Help you manage many of your basic health care needs
• Answer questions about your current medications or medical condition
• Discuss your health care concerns and help you decide the best way to handle them
• Offer improved access to VA services

Our Audiology and Speech Pathology clinic provides diagnostic and rehabilitative services, VA compensation and pension examinations, and screening for employee hearing conservation. We offer a full range of audiology and speech pathology services like:

• Hearing and balance evaluations
• Selection, management, and repair of hearing aids and assistive listening device assessments
• Evaluation, programming, and management of cochlear implants and bone-anchored implants
• Evaluation and treatment for auditory processing disorder
• Services that help with speech, language, fluency, voice, cognitive communication, swallowing, stuttering, and laryngectomy (surgical removal of the larynx, which contains your vocal cords)

Learn more about VA hearing aids

• COVID-19 vaccines for eligible Veterans and staff

View more details about COVID-19 Vaccines, Testing, as well as our Operational Plan/Safety Precautions

Vaccines are available at the following NF/SG Veterans Health System locations:

• Gainesville Primary Care VA Clinic - 5469 SW 34th St. Gainesville, FL 32608
  • Vaccine type available - Pfizer BioNTech Moderna
  • Appointment Preferred
  • Location within facility - Primary Care Clinics (where provider is located).
  • Monday- Friday 9:00 a.m. – 1:00 p.m.
    
     
• Lake City VAMC - 619 S. Marion Ave Lake City, FL 32025
  • Vaccine type available - Pfizer BioNTech Moderna
  • Appointment Preferred
  • Location within facility - Primary Care Waiting Room (located on 2nd floor in the Orange & Blue waiting area)
  • Wednesdays, 8:00 a.m. - 12 noon
    
     
• Leo C. Chase Jr. VA Clinic - 100 Deerfield Preserve Blvd St. Augustine, FL 32086
  • Vaccine type available - Moderna
  • Appointment Preferred
  • Location within facility - Clinic Conference Room
  • 3rd Thursdays, (starting 10/19/23) 1:00 p.m. - 3:00 p.m.
    
     
• The Villages Outpatient Clinic - 8900 Southeast 165th Mulberry Lane The Villages, FL 32162-5884
  • Vaccine type available - Pfizer BioNTech Moderna
  • Appointment Preferred
  • Location within facility - PC Walk-in Clinic
  • Wednesdays, 8:30 a.m.- 3:00 p.m.
    
     
• Sergeant Ernest I. "Boots" Thomas VA Clinic - 2181 East Orange Avenue Tallahassee, FL 32311-6144
  • Vaccine type available - Moderna
  • Appointment Preferred
  • Location within facility - 1st Floor, Walk-In Clinic (WIC)
  • Tuesdays & Thursdays, 1:00 p.m. - 3:00 p.m.
  • *(Perry CBOC Veterans may receive their vaccine at this location).
    
     
• Jacksonville Outpatient Clinic - 1536 N. Jefferson Street Jacksonville, FL 32209
  • Vaccine type available - Pfizer BioNTech Moderna
  • Appointments Preferred
  • Location within facility - Eval Clinic, 1st floor
  • Thursdays 8:30 a.m. - 3:00 p.m.
    
     
• Jacksonville University - 3901 University Boulevard South Jacksonville, FL 32216-4312
  • Vaccine type available - Pfizer BioNTech Moderna
  • By Appointment. Primary Care.  
  • Wednesdays
  • 9:00 a.m. -11:00 a.m.
    
     
• Jacksonville Southpoint - 6900 Southpoint Drive North Jacksonville, FL 32216-6185
  • Vaccine type available - Pfizer BioNTech Moderna
  • By Appointment. Primary Care
  • Location within facility - 4th floor
  • Tuesdays (starting 10/10/2023)
  • 9:00 a.m. -12: 00 noon
    
     
• Valdosta CBOC - 348 Enterprise Drive, Suite B Valdosta, GA 31601-5169
  • Vaccine type available - Moderna
  • Appointment Preferred
  • Wednesdays (starting 10/11/23)
  • 1:00 p.m.-3:00 p.m.
    
     
• Palatka CBOC - 400 North State Road 19, Suite 48 Palatka, FL 32177-2449
  • Vaccine type available - Moderna
  • Appointment Preferred 1st & 3rd Thursdays (starting 10/5/23)
  • 12:30 p.m. - 2:00 p.m.
    
     
• Marianna CBOC - 4970 Highway 90 Marianna, FL 32446-6802
  • Vaccine type available - Moderna
  • Appointment Preferred
  • 1st & 3rd Thursdays (starting 10/5/23)
  • 10:00 a.m. - 12:30 p.m.
    
     
• Middleburg CBOC - 400 College Drive, Suite 200 Middleburg, FL 32068-8525
  • Vaccine type available - Moderna
  • Appointment Preferred
  • Every other Wednesday (starting 10/4/23),
  • 10:30 a.m. - 12:00 p.m.
    
     
• Ocala CBOC - 4826 SW 49 Road Ocala, FL 34474
  • Vaccine type available - Moderna
  • By Appointment
  • Location within facility - Thursdays, Lobby
  • 10:00a.m. -11:00 a.m.
    
     
• St. Marys CBOC - 2603 Osborne Road, Kings Bay Village, Suite E St. Marys, GA 31558-3843
  • Vaccine type available - Moderna
  • Appointment Only
  • 1st & 3rd Wednesdays (starting 10/4/23)
  • 10:00 a.m. - 11:30 am.
    
     
• Waycross CBOC - 515B City Boulevard, City Square Plaza Waycross, GA 31501-8016
  • Vaccine type available - Moderna
  • Appointment Preferred
  • 1st & 3rd Tuesdays will start 10/17/23 (If there are 5 Tues/month- 5th Tuesday also)
  • 2:00 p.m. - 3:00 p.m.

If you’re a caregiver for a Veteran, you can get support by contacting one of our caregiver support coordinators. If the Veteran you care for was injured post-9/11, you may be eligible for even more services, including a stipend to help with expenses, training, and medical coverage if you aren’t already covered. For all caregivers, we can:

• Help you get caregiver assistance available through VA
• Provide progressive needs planning to help you manage degenerative conditions
• Match you with services and benefits
• Connect you with local resources and programs
• Listen to you when you struggle

Learn more and connect with a support coordinator

If you’re eligible for VA dental care, we offer a full range of quality dental services like:

• Routine exams and teeth cleaning
• Restorative procedures, including fillings and crowns
• Comprehensive surgical care, including extractions (pulling teeth) and oral cancer screening
• Routine and advanced prosthodontic care, including bridges, dentures, and dental implants
• Routine and advanced periodontal care, including root canals, gum treatments, and supporting bone care
• Oral and facial reconstruction surgery to repair damage from traumatic injury or serious illness

We diagnose and treat medical conditions in your esophagus, stomach, intestines, colon, and other parts of your digestive system. We can also test and treat other organs, like your liver, pancreas, and gallbladder. Our gastroenterology department provides services like:

• Colonoscopy, esophagogastroduodenoscopy (EGD), and endoscopic retrograde cholangiopancreatography (ERCP), which use an endoscope (a long, flexible tube with a small camera on the end) that lets us examine your digestive system
• Endoscopic ultrasound, which uses high-frequency sound waves to create images that help us diagnose and evaluate digestive and lung diseases
• Manometry study, which tests how well your esophagus is working
• Small bowel capsule endoscopy, which uses a tiny wireless camera that takes pictures as it moves through your digestive system
• 24-hour pH study, which measures how much stomach acid is flowing into your esophagus and helps us assess conditions like severe heartburn and acid reflux

We assess your situation and condition to decide which outpatient geriatric services are right for you or a senior Veteran in your care, and then we coordinate your care. Our team of specialists provides geriatric services that include:

• Medicine and nursing
• Psychology, psychiatry, and social work
• Physical and occupational therapy

Learn more about VA long-term care

We offer a range of hematology and oncology services. You can arrange appointments and consultation through your primary care provider. Our hematology and oncology services include:

• Chemotherapy
• Blood and platelet transfusions
• Mediport flushes to clean and maintain the small medical appliance inserted under your skin, making it easier to inject drugs and draw blood
• Evaluation and treatment of blood disorders and cancer
• Dedicated outpatient infusion center, working closely with radiation oncology, interventional radiology, general surgery, diagnostics, palliative care, and social services
• Bone marrow biopsies, to see whether your bone tissue is healthy and making a normal number of blood cells

We help Veterans who are homeless or at risk of becoming homeless due to financial hardship, unemployment, addiction, depression, or transition from jail. Contact one of our care coordinators to get help with:

• Immediate food and shelter needs, including both transitional and permanent housing
• Job training, life skills development, and education
• Justice system navigation and community reentry from jail
• Financial support to prevent homelessness
• Addiction and depression treatment
• Health and dental care

Learn more and connect with a care coordinator

The VA Intimate Partner Violence Assistance Program provides services and resources to Veterans, caregivers, their families and VA employees.  The goal of the program is to focus on health and safety in relationships.  

Types of Intimate Partner Violence

Men and Women experience intimate partner violence. The number could be twice as high for the veteran population. Intimate Partner Violence consists of the following:

• Physical Abuse-Intentional Use of Physical Force
• Emotional Abuse-Trauma caused by acts, threats of acts or coercive tactics.
• Sexual Abuse-Unwanted sexual activity or sexual touching; nonphysical such as sexting where consent is not given. 
• Stalking(Cyberstalking)-A pattern of unwanted attention; in person or virtually that causes fear for safety.
• Financial Abuse-Controlling Money & Ruining Credit.                          

Intimate partner violence can affect both women and men.  North Florida/South Georgia Veteran Health System Intimate Partner Violence Assistance Program  Coordinators who can assist Veterans, significant others, caregivers and VA employees who use or experience intimate partner violence in their relationships by linking them with VA or community resources. 

For questions or support, contact your local Intimate Partner Violence Assistance Program Coordinator(s) at 352-548-7726/ or 352-316-2981.    

Resources

• Read more about the  Intimate Partner Violence Assistance Program on the national page at https://www.socialwork.va.gov/IPV/About.asp 
• Intimate Partner Violence Assistance Program (IPVAP) General Program Fact Sheet
• Video: Women’s Health: Relationship Health Safety Screening Information
• Video: Health Safety Screening Information Safety Screening Information
• Video: Relationship Health and Safety

Florida domestic violence hotline

• 1-800-500-1119

Georgia domestic violence hotline                                                                                          

• 1-800-334-2836

• All Veterans are welcome at VA, and NF/SGVHS has LGBT Veteran Care Coordinators (LGBT VCCs) and a Transgender Coordinator to provide services and assistance to Veterans who identify as LGBT and related identities.
• The LGBT VCCS serve as a point-person, source of information, Veteran advocate, and problem-solver for LGBT Veteran-related health care issues.
• The Transgender Coordinator provides clinical care, case management and advocacy for transgender veterans through the system. Upon referral from the Transgender Coordinator, trained psychologists within NF/SG complete the psychological readiness assessment required to initiate feminizing or masculinizing hormone therapy.  Services for transgender veterans include mental health, hormone therapy, pre and post-surgical care, and medically necessary Prosthetic items.

A staff Member should refer to the Transgender Coordinator if a veteran is seeking transgender services in the VA.

Contact LGBT Veteran Care Coordinators: 352-376-1611 Ext. 105760 or 352-376-1611 ext. 107725

Contact the Transgender Coordinator: 352-376-1611 ext. 107725

Learn more and connect with a care coordinator

Our laboratories provide a full range of clinical and diagnostic testing services. Our laboratory and pathology services include:

• Surgical pathology (study of biopsy tissue and tissue removed during surgery) 
• Cytopathology (study of cells, pap tests, body fluids)
• Testing for infectious diseases
• Cytopathology (study of unusual cells) and surgical pathology (study of tissue removed during surgery)
• Autopsy services for hospital patients

MOVE! is a weight-management program designed to help you live a longer, healthier life. With the help of your MOVE! care team, you can eat a healthier diet, get more exercise, reduce your health risks, and improve your quality of life. The MOVE! program offers:

• Weight-loss support groups to help you lose weight and keep it off
• Healthy eating tips and cooking classes
• Behavioral change strategies to help you live a healthier lifestyle

Learn more about MOVE!

Our medical center and clinics provide consultation, evaluation, and treatment for a range of issues that may impact your mental health or emotional well-being. Our confidential outpatient services include individual and group therapy for:

Same day access: A Veteran Walk In to be assessed/triaged by a Provider, for non-life threatening/non-emergent needs within any clinic location (during regular business hours).

Primary care is the preferred entry point for accessing mental health services at the VA to enhance coordination of care. However, a Veteran may also be seen in any of the Mental Health clinics.

Contact the Veterans Primary Care Provider to inquire as to PCMHI (Primary Care Mental Health Integration) care.

(If unsure of Veterans Primary Care Provider, contact (352) 548-6000 ext. 106729.)

The PCMHI Team may be a separate specialty clinic of providers or may be within the Veterans Primary Care team or Mental Health Clinic. Veterans may be seen within PCMHI for 4-8 weeks of services at this access point. Additional referrals can be made from PCMHI to MH Clinic services and Other Specialty Clinics.

Learn more and connect with a care coordinator

If you’re a minority Veteran, we can help you get the services and benefits you need. Our Minority Veterans Program serves all Veterans who are Black American, Asian American, Hispanic American, and Native American (including American Indians, Alaska Natives, Native Hawaiians, and Pacific Island Americans). We work to:

• Help the medical center address minority Veterans’ needs
• Meet minority Veterans’ needs in the local community
• Identify barriers and create a more accessible environment for minority Veterans
• Inform minority Veterans of VA benefits, services, and programs

Learn more and connect with a care coordinator

Our registered dietitians can help you maintain or improve your health with good nutrition tailored to your needs. Through group, individual, and telehealth sessions, we provide nutrition education and counseling in areas such as:

• Cardiovascular and heart health
• Chronic kidney disease
• Diabetes (including gestational diabetes)
• Eating disorders and digestive health
• Pregnancy and postpartum nutrition
• Weight management

If you have symptoms of PTSD after a traumatic event, we can help. We offer assessment and treatment support such as private counseling, group therapy and medication. It’s never too late to get help.

Post-traumatic Stress Disorder (PTSD) is a mental health concern that can occur after a traumatic event like war, physical or sexual assaults, natural disasters, or accidents. Most people have some stress reactions after trauma. If the reactions disrupt your life and do not go away over time, you may have PTSD. PTSD does not need to be a lifelong problem. There is no single treatment that will work for every person, but help is available.

• Skill development
• Evidence-Based therapies to address your traumatic event(s) (Cognitive Processing Therapy for PTSD, Prolonged Exposure, Eye Movement Desensitization and Reprocessing, Cognitive Behavioral Conjoint Therapy, Written Exposure Therapy)
• Focused therapy groups
• Psychiatric assessment and medication management
• Treatment for addictive disorders in combination with PTSD

Additional Resources

• Learn more about PTSD
• PTSD : Decision Aid (va.gov)
• Cognitive Processing Therapy for PTSD - PTSD: National Center for PTSD (va.gov)
• Prolonged Exposure for PTSD - PTSD: National Center for PTSD (va.gov)
• Eye Movement Desensitization and Reprocessing (EMDR) for PTSD - PTSD: National Center for PTSD (va.gov)
• About Face - National Center for PTSD (va.gov)

Our patient advocates work hard to make sure you receive the best possible care at our health care facilities. They can:

• Help you get answers or address concerns with your care team
• Advocate for patient and family rights
• Serve as advocates for minority Veterans, women Veterans, and Veterans with disabilities
• Offer specialized help to former prisoners of war and Veterans transitioning from Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND)

Learn more and connect with a patient advocate

Learn more about the Veterans Experience Office (VEO)

Our pharmacy provides you and other Veterans with convenient, efficient service to make it easy to get your medications and medical supplies. You can:

• Pick up new prescriptions in person
• Refill prescriptions online and by phone or mail
• Safely dispose of medicines

Learn more about our pharmacy

We provide and help you use medical aids, hearing aids, state-of-the-art adaptive home equipment and other equipment to help you preserve and increase your mobility and independence.

VA is the world’s largest and most comprehensive provider of sensory aides and prosthetic devices. Veterans enrolled in the VA health care system and referred by a physical medicine and rehabilitation physician can receive a full range of services and equipment like:

• Artificial limbs and surgical implants, including artificial joints and pacemakers
• Wheelchairs and other medical devices
• Aids for Veterans who are blind, have low vision, or are hearing impaired
• Adaptive equipment and modifications to make your vehicle or home more accessible
• Other devices and services to help increase your mobility, dignity, and independence
• Clothing allowance for Veterans with devices that damage their clothing

If you’re struggling with a mental health problem—or just need to talk with someone—we can help. We offer treatment and support such as therapy, alternative treatments and medications when needed.

Our psychology teams offer consultation, evaluation, and treatment to help with a range of mental and behavioral health problems like:

• Depression (including sadness and grief), anxiety (including worry and nervousness), and personality disorders
• Addictive behaviors and substance abuse
• Post-traumatic stress disorder (PTSD) and combat-related stress disorder
• Emotional issues like anger management and relationship challenges
• Confused thinking, memory problems, and invasive thoughts or ideas
• Aggressive or self-harming behaviors

We provide long-term care to help you and your family when you’re dealing with a disability, chronic (long-lasting) illness, terminal illness, or serious health issues related to aging. Our long-term health care services include:

• 24/7 nursing and medical care
• Physical therapy
• Help with daily tasks like bathing, dressing, making meals, and taking medicine
• Pain management and palliative care to relieve suffering and improve quality of life for people with serious illnesses
• Hospice care to provide comfort and compassionate care for people in the last phases of an incurable illness
• To learn more about the different types of extended care that VA provides, see our guide to long-term services and support.

Learn more about VA long-term care

If you’re returning from military service, we can help you readjust to civilian life and get started with VA health care. We can also help connect you with programs like mental health services and education and career counseling.

We can help you readjust to civilian life if you’re returning from military service, on active duty, or an activated National Guard or Reserve member. Talk to one of our care coordinators about how to best use your health care benefits.

• Polytrauma care (if you have multiple traumatic injuries)
• Counseling and rehabilitation
• Mental and behavioral health services
• Family benefits counseling and assistance
• Referral assistance

Learn more and connect with a coordinator

The sleep medicine service diagnoses and treats your sleep problems, including trouble sleeping, breathing difficulties while sleeping, snoring, teeth grinding and jaw clenching.

At various points in our lives, all of us suffer from a lack of sleep. But, if you are spending enough time in bed and still wake up tired or feel very sleepy during the day, you may have a sleep disorder. We can help. Our sleep specialists can:

• Diagnose and treat sleep apnea and other sleep disorders
• Monitor your blood oxygen levels and heart rate
• Study your brain waves during sleep
• Evaluate possible causes for your excessive sleepiness
• Conduct sleep tests performed at home or in the lab
• Work with your doctors if you need surgery or dental appliances to help you get a good night’s sleep

Social work is integral to health care. We can help you and your family manage stress-related problems due to injury or illness, and find VA community resources to meet your needs like:

• Home health services
• Legal services
• Transportation
• Community living

We work with behavioral health providers and community organizations to help you and your family during times of crisis. We offer:

• Suicide prevention care coordinators
• Suicide prevention case managers
• Gun safety locks

Learn more and connect with a care coordinator

If you are having surgery, we make sure that your procedure and follow-up care are safe and high-quality.

We provide a wide range of surgical services, like:

• General surgery
• Anesthesia
• Cardiac surgery (heart and major blood vessels)
• Neurosurgery (brain, spinal column, and nerves)
• Orthopedic surgery (bones, muscles, ligaments, joints, and tendons)

All Veterans enrolled in VA health care can receive a toxic exposure screening at an upcoming appointment or sooner by contacting a Toxic Exposure Screening Navigator. All enrolled Veterans should receive the screening at least once every five years.

Learn more about Toxic Exposure Screening.

Our whole health approach empowers and equips you to take charge of your health, well-being, and quality of  life. Whole health goes beyond your illnesses, injuries, or disabilities, and focuses instead on your values, goals, and overall health. It includes self-care and complementary therapies along with conventional medical care. Our whole health program includes:

• Acupuncture to help you manage pain without drugs
• Meditation and mindfulness training
• Yoga, tai chi, and qi gong classes
• Massage and manual therapy
• and much more.

Learn more about Whole Health at https://www.va.gov/north-florida-health-care/programs/whole-health

We offer women’s health services to meet your specific needs such as disease screenings, mental health treatment, recovery from military sexual trauma, maternity care and female-specific medical equipment.

Our womens health program offers complete health care for women Veterans of all ages. Our primary care providers specialize in women’s health. They work closely with specialists in gynecology, obstetrics, female urology, oncology, medicine, radiology, surgery, and breast illness. Our services for women Veterans include:

• Ultrasounds, mammograms, Pap and HPV tests
• Mental health care and counseling
• Lifestyle wellness services
• Menopause treatment, including hormonal therapy
• Family planning, contraceptive care, and infertility evaluation

Learn more and connect with a care coordinator