Get Va Hypertension Disability Benefits Questionnaire 2024-2025

Completing the VA hypertension disability benefits questionnaire is crucial for veterans seeking compensation for their hypertension condition. This guide provides a clear and structured approach to filling out the form online, ensuring that all required information is accurately provided to support your claim.

Follow the steps to complete the questionnaire online:

1. Click ‘Get Form’ button to access the questionnaire and open it in your designated editing tool.
2. Begin by entering the patient's name and Social Security number at the top of the form.
3. Input the date of examination as prompted.
4. Indicate if you are completing the questionnaire at the request of the veteran or another party, and specify the name if you choose 'Third party'.
5. Determine your status as a VA healthcare provider by selecting 'Yes' or 'No'.
6. Answer whether the veteran is a regular patient in your clinic and confirm if the veteran was examined in person.
7. Under 'Evidence Review,' indicate if records were reviewed and specify the types and date ranges of those records, if applicable.
8. In Section I - Diagnosis, respond to whether the veteran has a diagnosis of hypertension. If applicable, detail the diagnosis, ICD code, and date.
9. If there are additional diagnoses related to hypertension, list them in the provided format.
10. Section II requires a summary of the veteran's hypertension history, their treatment plan, and any initial diagnosis confirmation through blood pressure readings.
11. Provide current blood pressure readings within Section II, ensuring all readings are recorded as per the guidelines outlined.
12. In Section III, answer questions about other pertinent physical findings or complications related to the veteran's condition.
13. Evaluate if the veteran's hypertension impacts their ability to work in Section IV and provide examples if applicable.
14. Add any final remarks in Section V, if necessary.
15. Section VI requires the examiner's certification, including their signature, printed name, contact information, and medical license details.
16. Once all sections are complete, review and ensure all information is accurate before saving your changes, downloading, printing, or sharing the completed form.

Begin completing the VA hypertension disability benefits questionnaire online today to support your claim.