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DEEP TENDON REFLEXES DTRs - RATE REFLEXES ACCORDING TO THE FOLLOWING SCALE 0 - Absent 2 Normal 1 Decreased 3 Increased without clonus Biceps Triceps Brachioradialis Knee Ankle VA FORM 21-0960C-4 JAN 2011 Page 2 4C. Giving us your SSN account information is voluntary. Refusal to provide your SSN by itself will not result in the denial of benefits. Reginfo. gov/public/do/PRAMain. If desired you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form....
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01
Start by accessing the patient/veteran's personal information form.
02
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Who needs name of patientveteran?
01
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What is name of patientveteran?
The name of the patientveteran is the name of the individual receiving medical care.
Who is required to file name of patientveteran?
Healthcare providers are usually required to document the name of the patientveteran in their records.
How to fill out name of patientveteran?
The name of the patientveteran should be accurately entered into the medical chart or electronic health record system.
What is the purpose of name of patientveteran?
The purpose of recording the name of the patientveteran is to accurately identify the individual receiving medical treatment.
What information must be reported on name of patientveteran?
The name of the patientveteran should include the first name, last name, and any relevant middle names or initials.
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