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Get Va Form 21 0960m 12
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How to fill out the Va Form 21 0960m 12 online
This guide provides a clear and supportive walkthrough for completing the Va Form 21 0960m 12 online. This form is essential for veterans applying for disability benefits related to shoulder and arm conditions and requires detailed information about their medical history.
Follow the steps to fill out the Va Form 21 0960m 12 online.
- Click 'Get Form' button to obtain the form and open it in the editor.
- Begin by entering the patient's or veteran's full name in the appropriate field.
- Provide the patient's or veteran's Social Security number in the designated section.
- Review the 'Medical Record Review' section and indicate if the veteran's VA claims file was reviewed, selecting 'Yes' or 'No' as appropriate.
- In 'Section I - Diagnosis', list the claimed conditions that pertain to this disability benefits questionnaire (DBQ) and select associated diagnoses where applicable.
- Proceed to 'Section II - Medical History' to describe the veteran's history of the shoulder or arm condition, including any flare-ups and functional loss.
- Continue with 'Section III - Initial Range of Motion (ROM) Measurements' where you will provide ROM data as prompted.
- Document any pain during movements, as required in 'Section V - Pain'.
- Fill out 'Section VI - Functional Loss and Additional Limitation of ROM', identifying factors contributing to disability.
- Complete assessments in subsequent sections regarding muscle strength, possible surgical procedures, and other pertinent information.
- Review all entered information for accuracy and completeness before finalizing.
- Once you are confident the form is filled correctly, save your changes and proceed to download, print, or share the completed form.
Complete your documents online to streamline your application process and ensure accuracy.
Yes, VA Form 21 4138 can be digitally signed when submitting your claim through the VA's online portal. Electronic submission simplifies the process, allowing for quicker responses. Using forms like the VA Form 21 0960m 12 as part of your documentation can help ensure all submissions are complete.
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