VA Form 21-0960H-2 Rectum and Anus Conditions (Including Hemorrhoids) Disability Benefits Questionnaire

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What Is VA Form 21-0960H-2?

This is a legal form that was released by the U.S. Department of Veterans Affairs on September 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VA Form 21-0960H-2?A: VA Form 21-0960H-2 is a Disability Benefits Questionnaire specifically for Rectum and Anus Conditions (Including Hemorrhoids).

Q: What is a Disability Benefits Questionnaire?A: A Disability Benefits Questionnaire is a form used by the Department of Veterans Affairs (VA) to gather information about a veteran's medical condition in order to determine eligibility for disability benefits.

Q: What does VA Form 21-0960H-2 assess?A: VA Form 21-0960H-2 assesses rectum and anus conditions, including hemorrhoids, for disability benefits.

Q: Who fills out VA Form 21-0960H-2?A: The veteran or their treating healthcare provider fills out VA Form 21-0960H-2.

Q: How is VA Form 21-0960H-2 used?A: VA Form 21-0960H-2 is used by the VA to evaluate the severity of a veteran's rectum and anus conditions, including hemorrhoids, and determine their eligibility for disability benefits.

Q: What information is required in VA Form 21-0960H-2?A: VA Form 21-0960H-2 requires information regarding the veteran's medical history, symptoms, treatments received, and the impact on daily activities.

Form Details:

Released on September 1, 2016;
The latest available edition released by the U.S. Department of Veterans Affairs;
Easy to use and ready to print;
Yours to fill out and keep for your records;
Compatible with most PDF-viewing applications;
Fill out the form in our online filing application.

Download a fillable version of VA Form 21-0960H-2 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the U.S. Department of Veterans Affairs.