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6.1. Appointment of SCI Support Clinic or Primary Care Teams
The medical center Chief of Staff appoints an SCI Support Clinic or SCI PCT at each VA medical center without an SCI Center. The SCI Support Clinic or SCI PCT provides primary and coordinated care to the local eligible Veteran with SCI/D. An SCI Support Clinic or SCI PCT must have at least four appointed team members including a physician, registered nurse care manager, social worker, and clinical associate (Licensed Practical Nurse, Medical Assistant, or Health Technician) or clerk. The distinguishing characteristic of a SCI Support Clinic is the presence of a dedicated medical specialist (physiatrist, neurologist, internist) who can provide basic SCI/D specialty care and may also provide SCI/D primary care. If services of the SCI Support Clinic specialist are limited to basic SCI/D specialty care, primary care services must be provided by another SCI designated primary care physician, physician assistant, or registered nurse practitioner assigned to the SCI team.