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How to fill out the 21 0960m 8 Oct 2012 online
Completing the 21 0960m 8 Oct 2012 form online is a crucial step for veterans seeking disability benefits for hip and thigh conditions. This guide will provide step-by-step instructions to ensure a smooth and efficient process.
Follow the steps to successfully complete the 21 0960m 8 Oct 2012 form online.
- Press the 'Get Form' button to access the form and open it in the editor.
- Fill in the patient or veteran's name and social security number in the respective fields. Ensure accuracy to avoid delays.
- In the medical record review section, indicate whether the veteran's VA claims file was reviewed by selecting 'Yes' or 'No'. If 'Yes', list any records that were reviewed that are not included in the claim file.
- Proceed to Section I: Diagnosis. List the claimed conditions that pertain to this DBQ and select associated diagnoses. Use the comments section to explain any differing diagnoses.
- Complete Section II: Medical History by describing the veteran’s condition, including the history of symptoms and any functional loss reported during flare-ups.
- In Section III, record initial range of motion (ROM) measurements for the right and left hip, along with any observations on painful motion if applicable.
- Continue to Section IV to document post-test ROM measurements after repetitive-use testing. Again, indicate any limitations observed.
- Fill out Section V to note any pain experienced during ROM movements and its impact on functional loss.
- In Section VI, check factors contributing to functional loss and provide detailed information if intervention is needed due to limitations.
- Complete Sections VII through IX to record muscle strength testing results, details regarding ankylois conditions, and any surgical procedures performed.
- Conclude with Sections X through XVII, ensuring all comments are detailed and relevant to the veteran’s conditions. Provide the physician's certification and signature at the end.
- After filling out the entire form, review for accuracy before saving, downloading, printing, or sharing the document as needed.
Complete your documents online today to ensure timely processing of your VA disability benefits.
The limited range of motion for VA disability refers to measurable reductions in movement, particularly in the hip and thigh joints. Per the 21 0960m guidelines, the VA establishes specific benchmarks for these measurements. Knowing these benchmarks aids in understanding your potential eligibility for benefits. If you find this process challenging, consider assistance from the uslegalforms platform to simplify your experience.
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