We have used both. The VA clinic in Tampa, Florida scheduled appointments together as much as possible- since
Clearwater had a different experience, guess it depends on where you are. We LOVED the VA clinic because anything you needed, or they anticipated you would need was immediately ordered and sent to your home. They treated us so well, with a philosophy that if you had ALS, you were top priority. Our civilian clinic was good too, but did not order any supplies for us. Given a choice, we would chose the VA hands down. Can't say enough positive things about the VA. They even supply all my husband's food (boost plus, as he can't eat regular food now!). All prescriptions are filled at no cost, even those not relating to his ALS. They are a Godsend for people with this disease. Donna