Veteran patients require accessibility to care. This includes the need to be seen at a location convenient to them, as much as possible. Additionally, they must be able to get an appointment with their clinicians within a reasonable period of time. A thirty-day limit for specialty clinic consultation has been targeted as a key customer service standard. Patients do not want to have to wait for long periods on the day of their appointments. They need access to the latest technology and specialty skills as appropriate for their medical conditions. This is important even if the CVAMC does not have the necessary equipment or personnel on site. The CVAMC must then contract for those services. Veteran patients need to have continuity of care. They want to see the same clinician each visit to develop rapport with someone who understands their particular needs. They want that provider to be aware of the results of any specialty consultations or hospitalizations. These patients deserve the availability of a range of services to meet their needs. They recognize the need for interdisciplinary approaches to solve some of their health problems. They demand to be heard during medical decision-making and want their end-of-life wishes respected.