Get Va Form 21-0960f-2 2018-2025

The VA Form 21-0960F-2 is essential for veterans applying for disability benefits related to skin diseases. This guide will provide you with clear, step-by-step instructions to complete this form online with confidence.

Follow the steps to complete the VA Form 21-0960F-2 online.

1. Use the ‘Get Form’ button to access the VA Form 21-0960F-2 and display it in your online editor.
2. Begin by entering the patient's or veteran's name in the designated field. Ensure that you provide their first name, middle initial, and last name for accurate identification.
3. Input the patient or veteran's social security number in the next field. This is crucial for processing the application.
4. Proceed to Section I: Diagnosis. Answer the questions regarding the veteran's current skin conditions by checking the appropriate boxes. If applicable, provide specific diagnoses along with their ICD codes and dates of diagnosis.
5. Continue to Section II: Medical History. Provide a brief summary of the history of the veteran's skin conditions, including any onset and course details.
6. In Section III: Treatment, specify if the veteran has been treated with any medications in the past 12 months. Check all that apply and provide details about the medications used and their duration.
7. In Section IV: Debilitating and Non-Debilitating Episodes, indicate any episodes experienced in the past 12 months and describe their characteristics. Document the details accordingly.
8. Move on to Section V: Physical Exam. Assess and indicate the visible skin conditions and the approximate body area affected.
9. In Section VI: Specific Skin Conditions, confirm whether the veteran has any specified skin conditions. If so, provide details about their severity and areas affected.
10. Proceed to Section VII: Tumors and Neoplasms. Answer the questions regarding any benign or malignant neoplasms and treatment details if applicable.
11. In Section VIII: Other Pertinent Physical Findings, describe any additional findings related to the skin conditions.
12. Fill in Section IX: Functional Impact, detailing any effects the skin conditions have on the veteran's ability to work.
13. Complete Section X: Remarks with any additional information or comments that may assist in processing the claim.
14. Finally, in Section XI: Physician's Certification and Signature, ensure the physician signs and dates the form. Provide additional contact and identification details as required.
15. After completing all sections, review the form for accuracy. You can then save changes, download the completed form, print it, or share it as necessary.

Take the first step towards obtaining your benefits—fill out your VA Form 21-0960F-2 online today!