There is a Vet's "Choice Act Provider Locator" finder tool available on-line./www.va.gov/opa/apps/locator/index.html
You can "point it" to any of the major cities in your region of the country and play around with it to see what kind of matches you get. You might, for example, try it for Urologists within 10 miles of Spokane, WA, and confirm that your current Urologist, Dr. Sypherd is, indeed, on the list.
As your research continues, you can use the tool to find more information, and to explore additional Regional Cities for Hospitals, Oncologists, Radiologists, or Surgeons that will be a "match" to your Choice Act preferences.
Note also the advisory at the above Locator Tool page:
"IMPORTANT: To schedule a Veterans Choice Program appointment you must call 866-606-8198.
Please do not contact your provider directly.
Please note that the list of approved providers is continuously updated. If there is a provider who you would like to see for care who is not listed, please call the Choice Program Call Center at 866-606-8198. "
Dx Nov 2013 Metastatic Prostate Cancer at Age 65
Numerous Bone Mets and Lymph Nodes, PSA 5,006
ADT Lupron + Zometa, PSA Nadir 1.0
Resistance after two years.
Short rechallenge Casodex.
Oct 2016 Provenge
Dec 2016 Start Xtandi, PSA 95
Jul 2017 PSA 1.5