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Get the free VA Form 21-0960G-3(2-11) - formupack

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OMB Control No. 2900-0778 Respondent Burden: 15 minutes INTESTINAL CONDITIONS (OTHER THAN SURGICAL OR INFECTIOUS) (INCLUDING IRRITABLE BOWEL SYNDROME, CROHN'S DISEASE, ULCERATIVE COLITIS, AND DIVERTICULITIS)
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VA Form 21-0960G-32-11 is a form used by the Department of Veterans Affairs (VA) to gather information about shoulder and arm conditions for disability claims.
Veterans who are filing a disability claim related to shoulder and arm conditions are required to fill out VA Form 21-0960G-32-11.
To fill out VA Form 21-0960G-32-11, the veteran or their representative should provide detailed information about their shoulder and arm conditions, including medical history, symptoms, and any treatments received.
The purpose of VA Form 21-0960G-32-11 is to collect necessary information to evaluate a veteran's eligibility for disability benefits related to shoulder and arm conditions.
On VA Form 21-0960G-32-11, the veteran should report detailed information about their shoulder and arm conditions, such as the specific diagnosis, symptoms experienced, limitations in daily activities, and any medical treatments received.
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