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IS CONTINUOUS MEDICATION REQUIRED FOR CONTROL OF THE VETERAN S GALLBLADDER OR PANCREAS CONDITION VA FORM OCT 2012 If Yes list only those medications required for the gallbladder or pancreas condition 21-0960G-2 SUPERSEDES VA FORM 21-0960G-2 FEB 2011 WHICH WILL NOT BE USED. Page 1 SECTION III - GALLBLADDER CONDITIONS SIGNS AND SYMPTOMS OF TREATMENT FOR GALLBLADDER CONDITIONS If Yes check all that apply Gallbladder disease-induced dyspepsia includi...
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How to fill out VA form 21 0960G:

01
Start by downloading the VA form 21 0960G from the official VA website or obtain a paper copy from your local VA office.
02
Read the instructions provided with the form carefully to understand the purpose and requirements.
03
Provide your personal information, including your full name, social security number, contact details, and date of birth.
04
Fill in your VA file number if you have one. If not, leave it blank or write "N/A."
05
Specify the medical condition for which you are seeking benefits by checking the appropriate box(es) or providing a clear description.
06
Provide a detailed account of your medical history related to the condition mentioned. Include any relevant dates, treatments, hospitalizations, surgeries, and medications.
07
If you have received medical treatment from non-VA providers, fill in the details of these providers and provide consent for the VA to obtain your medical records from them.
08
If you are currently receiving disability benefits or compensation, indicate this information in the relevant section.
09
If applicable, provide the details of any additional medical conditions you would like to be evaluated for.
10
Review the completed form to ensure all sections are accurately filled out and signed and dated at the bottom.
11
Make a copy of the completed form for your records before submitting it to the VA.

Who needs VA form 21 0960G:

01
Veterans who are filing a claim for disability benefits related to a specific medical condition.
02
Veterans who have experienced a worsening of their existing service-connected disability and need to request an increase in compensation.
03
Veterans who have developed a new medical condition that may be connected to their military service and are seeking disability benefits.
Please note that while this response provides general guidance, it is important to consult the specific instructions and requirements provided with VA form 21 0960G for accurate and complete completion.
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VA Form 21-0960G is the Disability Benefits Questionnaire (DBQ) for Neurological Conditions.
Veterans with neurological conditions who are seeking disability benefits from the Department of Veterans Affairs (VA) are required to file VA Form 21-0960G.
To fill out VA Form 21-0960G, provide all requested information about your neurological condition and any supporting medical documentation. It is important to be thorough and accurate.
The purpose of VA Form 21-0960G is to gather necessary information about a veteran's neurological condition to determine their eligibility for disability benefits.
VA Form 21-0960G requires reporting of a veteran's personal information, medical history, current symptoms, and any functional limitations caused by the neurological condition.
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