Get Va Form 21-0960l-1. Respiratory Conditions Disability Benefits Questionnaire - Reginfo

Completing the VA Form 21-0960L-1 is a crucial step in applying for respiratory conditions disability benefits from the U.S. Department of Veterans Affairs. This guide provides clear and supportive instructions to help you navigate each section of the form effectively.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the VA Form 21-0960L-1 and open it in your preferred document editor.
2. Begin with Section I - Diagnosis. Indicate whether the patient or veteran has been diagnosed with a respiratory condition by selecting 'Yes' or 'No.' If 'Yes,' provide details of the diagnosis, including the ICD code and date of diagnosis for each relevant condition.
3. Move to Section II - Medical Record Review. Indicate which medical records were reviewed to prepare the report by checking the appropriate options related to the individual's history.
4. Complete Section III - Medical History. Describe the history of the veteran's respiratory condition in a summary and indicate the need for medications or treatments such as corticosteroids or oxygen therapy.
5. Proceed to Section IV - Pulmonary Conditions. Indicate any pulmonary conditions present by checking the relevant boxes and providing additional details as requested.
6. In Section V - Diagnostic Testing, report any imaging studies or pulmonary function testing results that have been performed. Be specific about the test type and findings.
7. Continue to Section VI - Functional Impact to describe how the veteran's respiratory condition affects their ability to work, giving examples as necessary.
8. Fill out Section VII - Remarks if there is anything additional to communicate regarding the case.
9. Finalize the documentation in Section VIII - Physician's Certification and Signature by having the physician sign and date the form, including their contact information.
10. Once all sections are completed, save changes, ensure the document is correctly filled out, and then download, print, or share the form as needed.

Complete your VA forms online with confidence and secure your benefits efficiently.