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This questionnaire is for veterans applying to the U.S. Department of Veterans Affairs for disability benefits due to flatfoot (pes planus). The form gathers information on the veteran's flatfoot
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How to fill out va form 21-0960m-5

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How to fill out VA FORM 21-0960M-5

01
Obtain VA Form 21-0960M-5 from the VA website or local VA office.
02
Fill out the veteran's personal information in Section I, including name, address, and Social Security number.
03
Complete Section II, which requires information about the specific condition being claimed.
04
In Section III, provide information about the current symptoms and their impact on daily living activities.
05
If applicable, include any supporting medical evidence in Section IV.
06
Review the completed form for accuracy and ensure all necessary sections are filled out.
07
Sign and date the form at the end.
08
Submit the completed form to the appropriate VA office.

Who needs VA FORM 21-0960M-5?

01
Veterans who are applying for disability benefits related to specific medical conditions, such as mental health issues, traumatic brain injury, or other health problems recognized by the VA.
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People Also Ask about

Some of the most common foot conditions veterans experience following service include pes planus (flat feet), plantar fasciitis, bunion deformity, and arthritis. Veterans may be eligible to receive VA disability compensation if they are able to demonstrate that their foot conditions are due to their time in service.
“Some of the most common foot and ankle injuries in active-duty service members include ankle sprains, plantar fasciitis, stress fractures, Achilles tendonitis, shin splints, blisters, and ingrown toenails.”
Flat feet can lead to the development of secondary conditions, particularly within the musculoskeletal system, due to the foot deformity. Pes planus can contribute to the development of conditions such as rheumatoid arthritis, ankle pain, knee pain, and back pain.
These records should include documentation of the plantar fasciitis diagnosis, treatment history, and any military medical records related to foot pain. Statements from medical professionals: Veterans may need opinions from their primary care physicians, podiatrists, or surgeons to show the extent of their disability.
Yes, it is possible to receive a VA disability rating for Flat Feet and Plantar Fasciitis if they are determined to be service-connected and meet the criteria outlined in the VA Schedule for Rating Disabilities. Flat feet and plantar fasciitis are both foot-related conditions that can cause discomfort and affect mobil.
Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.
A C&P exam for pes planus or plantar fasciitis will include a physical examination of the feet for tenderness, swelling, calluses, and any pain or functional impairment. Additionally, a doctor may order X-rays to investigate foot deformities, such as calcified heel spurs.

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VA FORM 21-0960M-5 is a form used by veterans to report specific functional impairments related to their health conditions, particularly for disability claims.
Veterans who are claiming disability benefits for conditions that result in functional limitations are required to file VA FORM 21-0960M-5.
To fill out VA FORM 21-0960M-5, veterans must provide personal information, details about their diagnosed conditions, and a comprehensive description of how these conditions affect their daily functioning.
The purpose of VA FORM 21-0960M-5 is to assess the impact of a veteran's disability on their ability to perform daily activities, which helps in the evaluation of claims for disability compensation.
Information required on VA FORM 21-0960M-5 includes the veteran's personal identification, details about the diagnosis, the severity of functional limitations, and any accompanying medical documentation.
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