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This questionnaire is used by veterans applying for disability benefits from the U.S. Department of Veterans Affairs for conditions related to peripheral nerves. It requires the physician to provide
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How to fill out va form 21-0960c-10

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How to fill out VA FORM 21-0960C-10

01
Download VA FORM 21-0960C-10 from the official VA website.
02
Fill in your personal information including name, social security number, and contact information.
03
Provide information about your military service, including service dates and branch.
04
Complete the sections related to your specific condition being claimed, including symptoms, treatments, and diagnosis.
05
Include any additional documentation or evidence to support your claim.
06
Review the form for accuracy and completeness.
07
Sign and date the form.
08
Submit the completed form to the appropriate VA office or through the VA's online portal.

Who needs VA FORM 21-0960C-10?

01
Veterans seeking to claim benefits for a specific condition related to their military service.
02
Individuals applying for VA disability compensation due to a diagnosed condition.
03
Veterans who have received treatment for their condition and need to document it for their claims.
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Peripheral neuropathy is caused by nerve damage, leading to pain in the extremities and muscle weakness. People with moderate to severe cases of peripheral neuropathy may qualify for up to 80 percent VA disability.
C&P exam for peripheral neuropathy The C&P exam will allow the VA to determine the severity of the neuropathy and whether it can be connected to the veteran's service. The exam may include a complete physical exam, health history, blood tests, imaging, or special nerve tests.
VA Disability Ratings for Peripheral Neuropathy Like all other disability benefits, a VA disability rating for peripheral neuropathy requires proof of: An up-to-date list of symptoms of the condition including a diagnosis. A record of the in-service illness, event, or injury that caused the peripheral neuropathy.
The VA disability rating for peripheral neuropathy ranges between 10% (mild) to 40% (complete). Your exact rating will depend on the frequency and severity of your symptoms. Remember that the maximum rating of 40% can be assigned to every extremity affected by peripheral neuropathy.
Results: The VA Neuropathy Scale (VANS) tests balance, gait, reflexes, foot inspection, vibration, and pinprick. Possible scores range from 0 to 50 (worst). From the ROC curve, a cutoff of >2 points on the VANS sets the sensitivity and specificity of detecting PN at 98 and 91%, respectively.
To qualify for disability with peripheral neuropathy, you must show the SSA medical records and non-medical evidence that your condition gets in the way of your ability to work or hold a job. Below are examples of questions the SSA will use to determine if you qualify for peripheral neuropathy disability.
Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.

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VA FORM 21-0960C-10 is a form used by veterans to provide information regarding their bronchial conditions, which is part of the process for claiming disability benefits from the Department of Veterans Affairs.
Veterans suffering from bronchial conditions or related disabilities who are seeking compensation or benefits from the VA are required to file VA FORM 21-0960C-10.
To fill out VA FORM 21-0960C-10, veterans should provide accurate personal information, describe their medical history related to bronchial conditions, and include any relevant medical records or evidence to support their claim.
The purpose of VA FORM 21-0960C-10 is to collect essential medical information from veterans that helps the Department of Veterans Affairs assess the severity of their bronchial conditions for the purpose of determining disability compensation benefits.
Information that must be reported on VA FORM 21-0960C-10 includes the veteran's personal identification details, a detailed medical history of bronchial conditions, symptoms, treatments, and the impact of these conditions on daily life.
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