You can request a replacement card at the VA medical center where you had your picture taken. You'll need to bring your driver's license, passport, or other government ID or be able to answer a series of challenge questions so we can verify your identity before we give you a new card.
Have you changed your medical center since getting your original card?
No, I'm still at the same center as before.
Look, I'd love to do this over the phone but I'm hard of hearing. Do you have a number for that?