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SUPERSEDES VA FORM 21-0960M-13, OCT 2012, WHICH WILL NOT BE USED. 21-0960M-13. VA FORM. MAY 2013.
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How to fill out va form 21-0960m-13
How to fill out VA Form 21-0960M-13:
01
Start by carefully reading the instructions provided with the form. It is essential to understand the purpose and requirements of this specific form before proceeding.
02
Begin by section A, which requires personal information such as the veteran's name, social security number, contact information, and VA file number. Ensure all the details are accurately filled out.
03
Move on to section B, where you will provide information about the medical professional or facility that is completing the form. It requires details like their name, address, phone number, and medical license number.
04
Proceed to section C, which requests information about the veteran's medical condition or disability. This section asks for specific details regarding the diagnosis, symptoms, and any treatments received. It is crucial to provide comprehensive and accurate information here.
05
Section D focuses on the veteran's ability to perform daily tasks and work-related activities. It requires the completion of checkboxes indicating the extent to which the disability affects various areas of functioning.
06
Next, move to section E, which requests the medical professional's opinion on the veteran's limitations and the severity of their disability. It is vital for the medical professional to provide a detailed assessment and explanation based on their examination or review of the veteran's medical records.
07
In section F, the medical professional needs to provide information about the veteran's ability to tolerate working conditions. This includes the ability to work in certain environments, lift weights, and perform physically demanding tasks.
08
Section G asks for additional remarks or comments that the medical professional may deem necessary to provide a comprehensive assessment. It is important to include any relevant information that is not covered in the previous sections.
09
Review the completed form thoroughly to ensure all sections are correctly filled out and all necessary information is included.
10
Finally, sign and date the form as the medical professional completing it. The veteran may also need to sign the form, depending on certain circumstances.
Who needs VA Form 21-0960M-13:
01
VA Form 21-0960M-13 is needed by veterans who are seeking disability benefits for a mental health condition or disorder.
02
It is required by veterans who want to provide medical evidence supporting their disability claim and to establish its severity.
03
VA Form 21-0960M-13 is necessary for veterans who wish to have their mental health conditions evaluated and rated by the Department of Veterans Affairs (VA).
04
It is also needed by medical professionals or facilities that are responsible for assessing the veteran's mental health and providing an expert opinion on their disability.
05
Overall, VA Form 21-0960M-13 is utilized to evaluate and determine the extent of a veteran's mental health disability for the purposes of disability benefits and healthcare services.
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What is va form 21-0960m-13?
The VA Form 21-0960M-13 is an Application for Compensation and/or Pension for Amyotrophic Lateral Sclerosis (ALS) and other Related Diseases.
Who is required to file va form 21-0960m-13?
Veterans who have been diagnosed with Amyotrophic Lateral Sclerosis (ALS) or other related diseases are required to file VA Form 21-0960M-13.
How to fill out va form 21-0960m-13?
To fill out VA Form 21-0960M-13, veterans must provide information about their diagnosis, medical history, and any supporting documents. It is recommended to seek assistance from a VA representative.
What is the purpose of va form 21-0960m-13?
The purpose of VA Form 21-0960M-13 is to apply for compensation and/or pension benefits for veterans diagnosed with ALS or related diseases.
What information must be reported on va form 21-0960m-13?
Veterans must report their diagnosis, symptoms, medical history, and any supporting documents related to ALS or related diseases on VA Form 21-0960M-13.
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