| ACCOMAC |
| The counties of Northampton and Accomack |
| BIG STONE GAP |
| The counties of Dickenson, Lee, Scott, and Wise; the city of Norton |
| BRISTOL |
| The counties of Russell, Scott, Smyth, and Washington; the city of Bristol. The county of Sullivan, TN and the city of Bristol, TN |
| CEDAR BLUFF |
| The counties of Buchanan, Dickenson, Russell, and Tazewell |
| CHARLOTTESVILLE |
| The counties of Albemarle, Fluvanna, Greene, Louisa, Madison, Nelson, and Orange; the city of Charlottesville |
| DANVILLE |
| The counties of Henry, Pittsylvania and Patrick. The cities of Danville and Martinsville |
| FAIRFAX |
| The county of Arlington. The cities of Alexandria and Fairfax. The Pentagon and Fort Belvoir are also included |
| FRONT ROYAL |
| ContentThe counties of Clarke, Fauquier, Frederick, Loudoun, Page, Rappahannock, Shenandoah, and Warren; the city of Winchester |
| HAMPTON |
| The counties of Charles City, Gloucester, Isle of Wight, James City, Mathews, and York. The cities of Hampton, Newport News, Poquoson, and Williamsburg. Also, the Hampton VA Medical Center |
| LYNCHBURG |
| The counties of Amherst, Appomattox, Bedford, Buckingham, Campbell, Cumberland, and Prince Edward; the cities of Bedford, Cumberland, Madison Heights, and Lynchburg |
| PORTSMOUTH |
| The counties of Southampton, Sussex and Isle of Wight; the cities of Chesapeake, Franklin, Norfolk, Portsmouth, Suffolk, and Virginia Beach |
| QUANTICO |
| The counties of Caroline, Culpeper, King George, Prince William, Spotsylvania, Stafford, and Westmoreland; the cities of Falls Church and Fredericksburg |
| RICHMOND |
| See McGuire VAMC |
| SOUTH HILL |
| The counties of Brunswick, Charlotte, Greensville, Halifax, Lunenburg, Mecklenburg, Nottoway, Southampton, and Sussex; the city of Emporia |
| STAUNTON |
| The counties of Augusta, Bath, Highland, Rockbridge, and Rockingham; the cities of Buena Vista, Harrisonburg, Lexington, Staunton, and Waynesboro |
| TIDEWATER |
| The counties of Southampton, Sussex and Isle of Wight; the cities of Chesapeake, Franklin, Norfolk, Portsmouth, Suffolk, and Virginia Beach |
| WYTHEVILLE |
| The counties of Bland, Carroll, Giles, Grayson, Hillsville, Pulaski, and Wythe. The cities of Galax and Wytheville |