Get the free va form 21 0960m 6

Explain your findings and reasons in comments section. Flat foot pes planus Side affected Right Left Both ICD Code If checked complete all of Section I Section II and Section III Morton s neuroma Metatarsalgia Hammer toes Hallux valgus Hallux rigidus Acquired pes cavus claw foot Side affected Malunion/nonunion of tarsal/ metatarsal bones Foot injury ies Specify Plantar fasciitis VA FORM MAY 2013 21-0960M-6 SUPERSEDES VA FORM 21-0960M-5 OCT 2012 A...

How to fill out va form 21 0960m

How to fill out VA Form 21-0960M:

1. Start by downloading the VA Form 21-0960M, also known as the "Veterans Affairs (VA) Mental Disorder Questionnaire".
2. Read the instructions provided on the form carefully to understand the purpose and requirements.
3. Begin filling out the form by providing your personal information including your name, social security number, and contact details.
4. Section I of the form requires you to provide information about the mental disorder being claimed. Answer all relevant questions regarding your symptoms, duration, and frequency.
5. In Section II, you will need to provide details about any hospitalizations or treatment received for the claimed mental disorder. Include the names and contact information of healthcare providers who have treated you.
6. If you are claiming any secondary mental disorders caused by your primary mental disorder, Section III should be completed. Provide information regarding the symptoms and any relevant treatment received.
7. Section IV requires information regarding any social and occupational impairment resulting from your mental disorder. Answer all applicable questions to the best of your knowledge.
8. Section V is for remarks or additional information that you believe is necessary for the evaluation of your claim. If there is anything specific that you would like to highlight, provide a detailed explanation in this section.
9. Ensure that all required sections are completed accurately and truthfully. Review the form thoroughly to avoid any errors or omissions before submitting it.
10. If you need assistance or have any questions while completing the form, contact your nearest VA office or consult with a Veterans Service Officer (VSO) for guidance.

Who needs VA Form 21-0960M:

1. Veterans who are claiming service-connected mental disorders and require an evaluation or assessment of their condition from the VA.
2. Individuals who have been diagnosed with mental disorders that are related to their military service and are seeking compensation or benefits.
3. Veterans who have sought treatment or hospitalization for mental disorders and need to provide supporting documentation for their claim.
4. Any veteran who believes they may have a mental disorder related to their military service and wishes to have their condition evaluated by the VA.
5. Veterans who have secondary mental disorders caused by their primary mental disorder and need to provide information regarding these conditions for evaluation.
6. It is advisable to consult with a Veterans Service Officer (VSO) or contact your nearest VA office to determine if VA Form 21-0960M is specifically required for your claim.

For pdfFiller’s FAQs

What is va form 21 0960m?

VA Form 21-0960M is a form used by the Department of Veterans Affairs to collect medical evidence for claims related to mental health conditions.

Who is required to file va form 21 0960m?

Veterans who are seeking disability compensation or benefits for mental health conditions are required to fill out VA Form 21-0960M.

How to fill out va form 21 0960m?

To fill out VA Form 21-0960M, you need to provide your personal information, details about your mental health condition, and any medical evidence or treatment received. It is advisable to consult with a healthcare professional or a Veterans Service Officer for assistance in filling out the form.

What is the purpose of va form 21 0960m?

The purpose of VA Form 21-0960M is to gather necessary medical information to evaluate and determine the eligibility of veterans for disability compensation or benefits related to mental health conditions.

What information must be reported on va form 21 0960m?

VA Form 21-0960M requires you to report information such as your identification details, the nature of your mental health condition, symptoms experienced, medical treatment history, and any functional limitations or impact on daily life.

Can I create an eSignature for the va form 21 0960m in Gmail?

Use pdfFiller's Gmail add-on to upload, type, or draw a signature. Your va form 21 0960m and other papers may be signed using pdfFiller. Register for a free account to preserve signed papers and signatures.

How do I fill out va form 21 0960m using my mobile device?

Use the pdfFiller mobile app to fill out and sign va form 21 0960m. Visit our website (https://edit-pdf-ios-android.pdffiller.com/) to learn more about our mobile applications, their features, and how to get started.

How do I complete va form 21 0960m on an Android device?

Use the pdfFiller app for Android to finish your va form 21 0960m. The application lets you do all the things you need to do with documents, like add, edit, and remove text, sign, annotate, and more. There is nothing else you need except your smartphone and an internet connection to do this.