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VADepartment of Veterans AffairsVA RESEARCH CONSENT FORM (Page 1 of 12)Subject Name: SSN: Date: Title of Study: KOR Antagonism for the Treatment of Alcohol Use Disorder and Comorbid PTSD Principal
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What is va consent form 10-1086?
The VA Consent Form 10-1086 is a document that allows Veterans Affairs (VA) to obtain a veteran's medical records or other information needed for their benefits or treatment.
Who is required to file va consent form 10-1086?
Veterans or their authorized representatives are required to file the VA Consent Form 10-1086 when they need VA to access their medical information or records.
How to fill out va consent form 10-1086?
To fill out the VA Consent Form 10-1086, a veteran must provide their personal information, specify the records they are authorizing VA to obtain, and sign and date the form.
What is the purpose of va consent form 10-1086?
The purpose of the VA Consent Form 10-1086 is to allow VA to collect necessary medical information to support a veteran’s health care or benefits claims.
What information must be reported on va consent form 10-1086?
The information that must be reported includes the veteran's name, social security number, the specific records requested, and the signature of the veteran or their representative.
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