Get Va Form 21-0960j-1. Kidney Conditions (nephrology) Disability Benefits Questionnaire - Vba Va

The VA Form 21-0960J-1 is essential for veterans seeking disability benefits related to kidney conditions. This guide will provide clear, step-by-step instructions on how to accurately complete the form online to ensure a smooth application process.

Follow the steps to effectively complete the VA Form 21-0960J-1.

1. Press the 'Get Form' button to access the VA Form 21-0960J-1, enabling you to fill it out conveniently online.
2. Begin by providing the patient/veteran's name and social security number accurately in the designated fields to ensure proper identification.
3. In Section I, diagnose the veteran's kidney conditions by checking all applicable options and providing the associated ICD codes and dates of diagnosis as necessary.
4. Proceed to Section II to describe the historical context of the veteran's kidney conditions, including the cause, onset, and treatment plan. Be thorough and precise.
5. If applicable, answer questions in Section III regarding renal dysfunction, including whether the veteran requires regular dialysis, and provide relevant details about symptoms and limitations.
6. Continue to Section IV to indicate any urolithiasis (kidney stones) the veteran has experienced, including past treatments and symptoms.
7. In Section V, share any history of kidney or urinary tract infections, detailing treatment modalities used in the past year.
8. Complete Section VI if the veteran has had a kidney transplant or removal and provide any necessary supporting details.
9. Fill out Section VII regarding any tumors or neoplasms related to kidney diagnoses, being careful to indicate if any treatment is ongoing or completed.
10. Document any surgical scars or other pertinent findings in Section VIII and provide lab or diagnostic study results in Section IX.
11. Finish by reviewing Section X to determine the functional impact of the kidney conditions on the veteran's ability to work.
12. Finally, complete Section XII with the physician's certification, signature, and contact details before submitting the form. Ensure all information is accurate and complete.
13. Save changes, then download, print, or share the completed form as needed to maintain a record of your submission.

Begin filling out your VA Form 21-0960J-1 online today to ensure you receive the benefits you deserve for your kidney conditions.