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SCARS/DISFIGUREMENT DISABILITY BENEFITS QUESTIONNAIRE

Page 1 of 9 Updated on: March 31, 2020 ~v20_1 Scars DISABILITY BENEFITS QUESTIONNAIRE Released January 2022 SCARS/DISFIGUREMENT DISABILITY BENEFITS QUESTIONNAIRENAME OF PATIENT/VETERAN:PATIENT/VETERAN'S SOCIAL SECURITY NUMBER:Note - 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.

Mar 31, 2020 · If scars are too numerous to count (for example, multiple scattered shrapnel wound scars, acne scarring or pseudofolliculitis barbae), indicate “TNTC” and provide approximate combined total area. Regardless of the answer …

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