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If Ye, document the veteran's description of the impact of flare-ups in his or her ... 10. 15. 20. 25. 30. 35. 120. 125. 130. 135. 180. 175. 170. 165. 160. 155. 150 ..... at www.vba.va.gov/disabilityexams
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How to fill out va form 21 0960m

How to fill out VA Form 21-0960M:
01
Obtain the form: You can download VA Form 21-0960M from the official Department of Veterans Affairs (VA) website or obtain a physical copy from your nearest VA facility.
02
Read the instructions: Before filling out the form, carefully read the instructions provided. Make sure you understand the purpose of the form and the information that needs to be provided.
03
Personal information: Fill in your personal details, including your full name, social security number, date of birth, and contact information. Ensure that you provide accurate and up-to-date information.
04
VA file number: If you have a VA file number, enter it in the appropriate section. This number helps the VA identify your records.
05
Medical history: Provide a complete and detailed medical history related to your claimed condition. Include the dates of initial symptoms or diagnosis, treatments received, and the impact of the condition on your daily life.
06
Supporting documentation: Gather any relevant documentation that supports your claimed condition, such as medical records, test results, and statements from healthcare providers. Attach these documents to the completed form.
07
Signature: Sign and date the form. By signing, you certify that the information provided is true and accurate to the best of your knowledge.
Who needs VA Form 21-0960M:
01
Veterans filing a disability claim: VA Form 21-0960M is typically required for veterans who are filing a disability claim related to mental disorders, such as post-traumatic stress disorder (PTSD), depression, or anxiety.
02
Active-duty servicemembers: Active-duty servicemembers who wish to receive treatment for mental health conditions from the VA may be required to complete this form to initiate the process.
03
Veterans seeking increased benefits: If a veteran is already receiving disability compensation for a mental disorder but believes the condition has worsened, they may need to fill out this form to request an increase in benefits.
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What is va form 21 0960m?
VA Form 21-0960M is a Disability Benefits Questionnaire (DBQ) used by the Department of Veterans Affairs (VA) to evaluate and gather medical evidence for claims related to musculoskeletal conditions.
Who is required to file va form 21 0960m?
Veterans who are seeking disability benefits for musculoskeletal conditions are required to complete and file VA Form 21-0960M.
How to fill out va form 21 0960m?
To fill out VA Form 21-0960M, you need to provide detailed information about your medical history, symptoms, and limitations related to musculoskeletal conditions. It is recommended to consult with a medical professional who can help you accurately complete the form.
What is the purpose of va form 21 0960m?
The purpose of VA Form 21-0960M is to gather essential medical information to assist the VA in determining the severity of a veteran's musculoskeletal condition and to evaluate their eligibility for disability benefits.
What information must be reported on va form 21 0960m?
VA Form 21-0960M requires the report of detailed information such as the veteran's medical history, symptoms, current treatment, and functional limitations caused by the musculoskeletal condition.
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