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Office of Construction & Facilities Management




Technical Information Library (TIL) - The source for VA's electronic Design and Construction Information

TIL Feedback - we welcome your suggestions at

If you have questions about, or have difficulty accessing the content of the PDF files, please e-mail Facilities Standards Service at, or contact Gary M. Fischer, Architect at 202-632-4898.

Design Guide Index

Audiology and Speech Pathology Service - Change Summary (posted 2018-04)

Cardiovascular Laboratory Service

Dental Service - Change Summary

Digestive Diseases - Endoscopy Service

Electroencephalography Laboratory (EEG)

Emergency Department (ED)   Appendix - Change Summary

Eye Clinic: Ophthalmology and Optometry Services - Change Summary

Imaging Services Design Guide    Appendix - Change Summary

Inpatient Mental Health and Residential Rehabilitation Treatment Program Facilities - Change Summary

Medical/Surgical Inpatient Units & Intensive Care Nursing Units

Mental Health Outpatient Services

National Cemetery Administration Design Guide

Office of Information & Technology
– Telecommunications Systems Infrastructure Standards and Design

Outpatient Clinic (SOC/CBOC):  Effective October 1, 2016, PG-18-12 Outpatient Clinic (SOC/CBOC) Design Guide is rescinded and shall not be utilized for VA design projects.  For Ambulatory Surgery Service planning and design services, material may be found in Inpatient Surgical/Endovascular Services and Ambulatory Surgical Service Design Guide.  For CBOC Clinical Services planning and design standards, refer to CBOC Prototype Study and PACT Space Module Design Guide.  

PACT (Patient Aligned Care Team) Space Module - Change Summary
      Concurrence July 3, 2015

Pharmacy Service - Change Summary

Physical Medicine and Rehabilitation    Appendix - Change Summary

Polytrauma Rehabilitation Center (PRC) - Change Summary

Pulmonary Medicine Service

Radiation Therapy Service

Research and Development (R&D)    Appendix - Change Summary

Signage and Wayfinding  (now under Design Manuals)

Small House Model - Change Summary

Spinal Cord Injury/Disorders Center    Appendix - Change Summary

Sterile Processing Service and Logistics Service  -  Change Summary

Surgical and Endovascular Services  -  Change Summary 


Telecom Systems Infrastructure Standards and Design

Urgent Care (UC)   Appendix - Change Summary

NOTICE:  VA Design Guides are in a continual process of refinement/update and new Design Guides are being developed.  Update will be incremental; completed Guides will be posted on this site and noted as current.  As much information in these Guides is dated, it is recommended that they be used with caution to assure that current standards of the health care industry are addressed in meeting VA’s needs.  A planning/design consultant may be helpful in confirming the validity of project specific data.

Design Guides are intended to help speed the design process, control cost, avoid errors and omissions, and get value for dollars spent.  Design guides are developed in partnership with the using service and are benchmarked with similar private sector guides.