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Get Va 21-0960c-10 2010
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How to fill out the VA 21-0960C-10 online
This guide provides a comprehensive overview of how to complete the VA Form 21-0960C-10 online, ensuring you navigate the process with ease. By understanding each section of the form, users can provide accurate information to assist in obtaining disability benefits.
Follow the steps to fill out the VA 21-0960C-10 online.
- Click the ‘Get Form’ button to access the VA Form 21-0960C-10 and open it in your preferred editor.
- Begin by entering the name and social security number of the patient or veteran at the top of the form. This information is essential for identifying the individual applying for benefits.
- Proceed to Section I - Diagnosis. Indicate if the veteran has a peripheral nerve condition by selecting 'Yes' or 'No.' If 'Yes,' provide the relevant diagnoses, ICD codes, and dates of diagnosis in the spaces provided.
- In Section II - Medical History, describe the history of the veteran's peripheral nerve condition, including its cause, onset, and course. Also, select the dominant hand.
- Move to Section III - Symptoms. Indicate whether the veteran experiences any symptoms and check the relevant boxes, detailing their location and severity for each symptom listed.
- For Section IV - Neurologic Exam, assess and record strength, deep tendon reflexes, and sensation testing results. Follow the provided scale for each component.
- Continue to complete Sections V through VIII, detailing gait, nerves affected, and the severity of peripheral nerve conditions for both upper and lower extremities, based on the evaluation criteria given.
- In Section IX, indicate if the veteran uses any assistive devices and describe the frequency and type. Record any conditions that necessitate such devices.
- Complete Section X by noting any other significant physical findings or complications. In Section XI, indicate any performed diagnostic tests, including EMG studies, and summarize the results.
- Finally, in Section XII, evaluate the impact of the veteran's condition on their ability to work. Add any additional remarks if necessary. Ensure Section XIII has the physician’s certification, signature, and contact details.
- Once all sections are completed, review the form for accuracy. Users can save changes, download, print, or share the form as needed.
Complete your documents online today to ensure a smooth application process.
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Yes, you can submit your VA intent to file online using the VA 21-0960C-10 form through the VA's official website. This method allows for a faster submission process and immediate confirmation of your intent. Make sure you have all your details ready to ensure a smooth filing experience.
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