Get Va Form 21 0960p 4

Filling out the Va Form 21 0960p 4 can be essential for individuals seeking disability benefits for mental disorders other than PTSD and eating disorders. This guide will provide step-by-step instructions to help you complete the form online efficiently and accurately.

Follow the steps to fill out the form online

1. Press the ‘Get Form’ button to access the form and open it in your preferred editing software.
2. Begin by entering the name of the patient or veteran in the appropriate section.
3. Provide the patient's or veteran's social security number as instructed.
4. For Section I, Diagnosis, answer whether the veteran has a current or past diagnosis of a mental disorder. If the answer is 'Yes', provide all applicable diagnoses along with their corresponding ICD codes.
5. Continue to Section II and indicate any relevant clinical findings, including evidence reviewed and relevant histories.
6. In Section III, Symptoms, check off all symptoms that apply to the veteran's diagnoses.
7. Proceed to Section V and indicate whether the veteran is capable of managing their financial affairs, providing explanations where necessary.
8. Complete the certification section by signing and dating the form. Include your printed name, phone number, fax number, and medical license number.
9. Once finished, review all entries for accuracy and completeness before submitting.
10. Save your changes, then download, print, or share the completed form as necessary.

Complete the Va Form 21 0960p 4 online today to ensure your claim is processed efficiently.