Get the free VA Form 21-0960M-2

JAN 2011 21-0960M-2 ... SECTION II MEDICAL HISTORY ... (I “Yes,” document the veteran#39’s description of the impact of flare-ups in his or her own words) ..... found at www.vba.va.gov/disabilityexams

How to fill out va form 21-0960m-2

How to fill out VA Form 21-0960M-2:

1. Begin by carefully reading the instructions provided with the form. These instructions are essential in helping you understand the purpose of the form and how to accurately complete it.
2. In section 1, provide your personal information such as your name, social security number, date of birth, and contact information. Make sure to double-check that all the provided information is correct and up to date.
3. Section 2 requires you to provide information about the specific condition or disability you are claiming. Be as detailed and accurate as possible, including any relevant medical history, diagnoses, symptoms, and treatment you have received or are currently receiving.
4. In section 3, you will need to provide information about your medical providers, including their names, addresses, and contact information. It is important to include all relevant providers who have treated you for the claimed condition.
5. Section 4 requires you to provide a detailed description of the events or circumstances that caused your condition or disability. Be thorough in explaining how these events or circumstances have impacted your physical or mental health.
6. In section 5, you will need to provide information about any private health insurance coverage you have. Include the name of the insurance company, policy or group number, and effective dates.
7. Section 6 requests information about any previous or pending claims you have submitted for the same condition or disability. Provide details of the claim, including the date it was submitted, the claim number, and any decisions or appeals related to it.

Who needs VA Form 21-0960M-2:

1. Veterans who are seeking disability compensation or benefits for specific medical conditions or disabilities related to military service.
2. Individuals who have experienced physical or mental health issues as a result of their service and are applying for VA disability benefits.
3. Veterans who have undergone medical treatment or have received diagnoses for conditions that they believe are connected to their military service.

In conclusion, filling out VA Form 21-0960M-2 requires attention to detail and a thorough understanding of the instructions. It is important to provide accurate and complete information about your condition, medical providers, and any previous claims. This form is primarily used by veterans seeking disability compensation for service-related medical conditions or disabilities.

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