Contact the Director of the VA facility if you are dissatisfied with your Patient Advocate. It is better to write down your concerns in detail so the Director can assess them and make a final decision regarding them and then inform you via phone or writing. If you are still not satisfied with this assistance then you can contact the VISN director. You may also appeal to the Board of Veterans Appeals if you are not happy with the decision made by the VA facility. Issues that usually go for appeal are medical payment debts and reimbursement for those medical services not authorized by the VA. You have one year in which to file for an appeal after the decision was made. For more information, please visit http://www.bva.va.gov/. You may also contact the Department of Veteran Affairs, Board of Veterans Appeals, 810 Vermont Avenue NW, Washington DC. 20420.