Get Va Form 21 0960f 2

This guide offers a clear and supportive approach to filling out the VA Form 21-0960F-2 online. Understanding each section and field of the form is essential for a successful application for disability benefits related to skin diseases.

Follow the steps to effectively complete the VA Form 21-0960F-2.

1. Press the 'Get Form' button to acquire the form and open it in your preferred editor.
2. Begin with Section I - Diagnosis. Indicate if the veteran currently has or has had a skin condition. If yes, provide specific diagnoses and related ICD codes for any conditions that apply.
3. In Section II - Medical History, summarize the history of the veteran's skin conditions, including onset and course.
4. Proceed to Section III - Treatment. Note whether the veteran has received oral or topical medications in the past 12 months and specify all medications used.
5. In Section IV - Debilitating and Non-Debilitating Episodes, indicate any debilitating or non-debilitating episodes experienced in the past year, describing the conditions causing them.
6. Continue to Section V - Physical Exam. Detail the visible skin conditions and provide estimates for the affected total body area and exposed body area.
7. Section VI focuses on specific skin conditions. Indicate if the veteran has acne, vitiligo, alopecia, or hyperhidrosis, and provide relevant details.
8. In Section VII - Tumors and Neoplasms, mark if the veteran has any benign or malignant neoplasms, describing the treatment undergone or currently being administered.
9. Complete Section VIII by stating any other pertinent physical findings related to the diagnoses.
10. In Section IX, assess whether the veteran's skin conditions impact their ability to work and provide examples of such impacts.
11. Utilize Section X for any additional remarks required.
12. Finally, Section XI requires the physician's certification. Ensure the physician includes their signature, name, and contact information.

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