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Get Va Form 21-0960m-8
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How to fill out the VA Form 21-0960M-8 online
This guide provides clear instructions on how to fill out the VA Form 21-0960M-8 online. Designed for veterans seeking disability benefits for hip and thigh conditions, this step-by-step approach will help ensure all necessary information is accurately submitted.
Follow the steps to complete the form online effortlessly.
- Press the ‘Get Form’ button to access the form and open it for editing.
- Begin filling out the patient's information at the top of the form, including the name and social security number of the veteran.
- In Section I, indicate whether the veteran has a hip and thigh condition by selecting 'Yes' or 'No' and provide rationale or diagnoses as necessary.
- Proceed to Section II to summarize the veteran's medical history, detailing the onset and progression of the condition.
- In Section III, measure the initial range of motion (ROM) of the right and left hips using the provided scales and check appropriate boxes for flexion and extension.
- Continue to Section IV to conduct repetitive-use testing and report post-test ROM measurements if applicable.
- Fill out Section V to indicate any functional loss or impairment, as well as factors contributing to the disability.
- Complete Sections VI through XII, documenting any objective evidence of pain, tenderness, strength testing results, and additional medical conditions.
- In Section XIII, the responsible physician will certify the information by signing the form and providing contact details.
- Once all sections are completed, save the changes, and opt to download, print, or share the form according to your needs.
Complete your VA Form 21-0960M-8 online today for efficient processing of your disability benefits request.
Related links form
Hip replacement Hip pain VA rating 70% – markedly severe residual weakness, pain or limitation of motion following implantation of prosthesis. 50% – moderately severe residuals of weakness, pain or limitation of motion. 30% – minimum rating, total replacement only.
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