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AUTHORIZATION AND RELEASE TO OBTAIN INFORMATION Under the provisions of the Fair Credit Reporting Act, 15 USC, Section 1681 et seq., the Americans with Disabilities Act and all applicable federal,
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This form is used by veterans to provide information about their medical history and current health status to the VA.
All veterans who are seeking medical benefits from the VA are required to fill out this form.
Veterans need to complete the form with accurate information regarding their medical history and health status as requested.
The purpose of this form is to assess the medical needs of veterans and determine eligibility for VA medical benefits.
Veterans must report their medical history, current health status, any disabilities, and any medications they are currently taking.
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