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NECK (CERVICAL SPINE) CONDITIONS DISABILITY BENEFITS ...

Updated on June 17, 2020 ~v20_2 Page 1 of 13 Neck (Cervical Spine) CONDITIONS DISABILITY BENEFITS Questionnaire Released January 2022 NECK (CERVICAL SPINE) CONDITIONS DISABILITY BENEFITS QUESTIONNAIREC laimant/Veteran's Social Security NumberName of Claimant/VeteranSECTION I - DIAGNOSISNote: These are condition(s) for which an evaluation has been requested on an exam request form (Internal VA) or for which the Veteran has requested medical evidence be provided for submission to List the claimed condition(s) that pertain to this questionnaire:Note: These are the diagnoses determined during this current evaluation of the claimed condition(s) listed above. If there is no diagnosis, if the diagnosis is different from a previous diagnosis for this condition, or if there is a diagnosis of a complication due to the claimed condition, explain your findings and reasons in the remarks section.

Jun 17, 2020 · Note: These are the diagnoses determined during this current evaluation of the claimed condition(s) listed above. If there is no diagnosis, if the diagnosis is different from a previous diagnosis for this condition, or if there is a diagnosis of a complication due to the claimed condition, explain your findings and reasons in the remarks section.

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