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Se Development Management & Financial Systems April 2011 CAPRI Male Reproductive System Conditions DBQ Workflow i Revision History Date Description (Patch # if applicable) Author 2/1/2011 Document created M. Guthrie Technical Writer N/A 4/1/2011 Changes for patch 163 M. Guthrie N/A 4/7/11 Changed mandatory logic to Please describe the appliance used for the voiding dysfunction. K. DeLaCruz N/A Changed If yes, describe: to If yes, describe the appliance April 2011 CAPR.

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How to fill out the Male Reproductive System Conditions - Va online

Filling out the Male Reproductive System Conditions Disability Benefits Questionnaire (DBQ) can seem daunting, but following a clear process will help ensure that your form is completed accurately. This guide provides step-by-step instructions to assist you in filling out this essential document online.

Follow the steps to complete the Male Reproductive System Conditions - Va online successfully.

  1. Press the ‘Get Form’ button to access the Male Reproductive System Conditions DBQ and open it in the editor.
  2. Begin by filling in the name of the patient or veteran in the appropriate field, ensuring to use the full legal name.
  3. In Section 1, answer whether the veteran has been diagnosed with any male reproductive system conditions by selecting 'Yes' or 'No'. If 'Yes', specify which conditions apply.
  4. Moving to Section 2, provide a history of the veteran's male reproductive organ conditions, including any treatments or medications if applicable.
  5. In Section 3, indicate if the veteran has a voiding dysfunction. If so, detail the severity, any required appliances, and any associated symptoms.
  6. For Section 4, check if there is a history of urinary tract or kidney infections and describe any treatments undertaken.
  7. Section 5 addresses erectile dysfunction; ensure to clarify whether or not it is connected to any diagnosed conditions.
  8. Continue with Section 6 regarding retrograde ejaculation and its relation to other diagnoses.
  9. In Section 7, confirm any history of chronic infections and list treatments sought.
  10. Proceed to complete the physical examination details in Section 8, including specifics for the exam results.
  11. In Section 9, indicate the presence of any tumors or neoplasms and detail the treatment status for any identified conditions.
  12. Review Section 10 for any pertinent physical findings or complications and describe them if applicable.
  13. Provide details for any diagnostic testing conducted in Section 11, noting the dates and results.
  14. In Section 12, discuss whether the conditions impact the veteran's ability to work.
  15. Finally, complete Section 13 with any additional remarks if needed.
  16. Once all sections are filled out, finalize by saving changes, downloading, or printing the completed form.

Take the next step — complete your Male Reproductive System Conditions DBQ online today!

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The VA Disability Benefits Questionnaire (DBQ) for erectile dysfunction is an important tool used during a C&P exam to evaluate the severity and impact of a veteran's condition.

VA previously assigned a 20% rating for penile deformity with erectile dysfunction but now provides a 0% rating, reflecting that ED does not impact earning capacity. However, veterans may qualify for SMC-K, which provides $132.74 per month in 2024.

The PROSTATE CANCER DBQ provides the ability to capture information related to Prostate Cancer and its treatment.

Code 7520: If doctors removed half or more than half of your , you receive a rating of 30 percent. Code 7521: If doctors removed your glans, your rating is 20 percent. Code 7522: If your cannot become erect because of a physical deformity, you receive a 20-percent rating.

The Male Reproductive System Conditions DBQ provides the ability to capture information related to Male Reproductive Organs and its treatment.

Male sterility or infertility is not considered by VA to be "chronic diseases" listed under 38 C.F.R. § 3.309 (a); therefore, the presumptive service connection provisions based on "chronic" in-service symptoms and "continuous" post-service symptoms under 38 C.F.R. § 3.303 (b) do not apply.

Erectile dysfunction, premature ion, loss of libido, testicular cancer and prostate disease may cause embarrassment to the patient and, occasionally, the general practitioner.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232