Transcription of HEMATOLOGIC AND LYMPHATIC CONDITIONS, …
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HEMATOLOGIC and LYMPHATIC conditions Disability Benefits Questionnaire Released January 2022 Updated on March 31, 2020 ~v20_1 Page 1 HEMATOLOGIC AND LYMPHATIC conditions , INCLUDING LEUKEMIA DISABILITY BENEFITS QUESTIONNAIRENAME 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. VA reserves the right to confirm the authenticity of ALL questionnaires completed by providers.
Mar 31, 2020 · Aplastic anemia Iron deficiency anemia. Folic acid deficiency Pernicious anemia or other Vitamin B12 deficiency anemia. Acquired hemolytic anemia AL amyloidosis (primary amyloidosis) Adenitis, tuberculous (Also complete the Infectious Diseases (Other
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