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 Va Forms 21 0960e1 2014

Va Forms 21 0960e1 2014

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Veterans Affairs (VA) for disability benefits. VA will consider the information you provide on this questionnaire as part of their evaluation in processing the veteran's claim. SECTION I - DIAGNOSIS 1A. SELECT THE VETERAN'S CONDITION: DIABETES MELLITUS TYPE I DIABETES MELLITUS TYPE II IMPAIRED FASTING GLUCOSE DOES NOT MEET CRITERIA FOR DIAGNOSIS OF DIABETES OTHER (Specify, providing only diagnoses that pertain to Diabetes Mellitus or its complications) DIAGNOSIS # 1 - ICD CODE - DATE OF...
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