Transcription of EAR CONDITIONS (INCLUDING VESTIBULAR AND …
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EAR CONDITIONS (INCLUDING VESTIBULAR AND …
Updated on April 16, 2020 ~v20_1 Ear CONDITIONS Disability Benefits Questionnaire Released January 2022 Page 1 of 7 EAR CONDITIONS ( including VESTIBULAR AND INFECTIOUS CONDITIONS ) DISABILITY BENEFITS QUESTIONNAIRE NAME OF PATIENT/VETERANPATIENT/VETERAN'S SOCIAL SECURITY NUMBERNote - The Veteran is applying to the Department of 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. VA may obtain additional medical information, including an examination, if necessary, to complete VA's review of the veteran's application.
Apr 16, 2020 · Chronic otitis externa Chronic suppurative otitis media. Chronic nonsuppurative otitis media (serous otitis media) Mastoiditis . Cholesteatoma Otosclerosis. If, checked, a Hearing Loss and Tinnitus Questionnaire must be completed in lieu of this Questionnaire. Benign neoplasm of the ear (other than skin only) Malignant neoplasm of the ear
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