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Get VA 10-5345 2005

Action of the need for disclosure; (2) on (date supplied by patient); (3) under the following condition(s): I understand that the VA health care practitioner's opinions and statements are not official VA decisions regarding whether I will receive other VA benefits or, if I receive VA benefits, their amount. They may, however, be considered with other evidence when these decisions are made at a VA Regional Office that specializes in benefit decisions. DATE (mm/dd/yyyy) SIGNATURE OF PATIENT OR P.

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