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VA Form 21-0960e-2

Endocrine Diseases Disability Benefits Questionnaire Released January 2022 Updated on April 16, 2020 ~v20_1 Page 1 of 7 ENDOCRINE DISEASES (Other than Thyroid, Parathyroid or Diabetes Mellitus) 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.

Apr 16, 2020 · CUSHING'S SYNDROME. ICD code - ACROMEGALY. DIABETES INSIPIDUS ADDISON'S DISEASE (adrenocortical insufficiency) POLYGLANDULAR SYNDROME (multiple endocrine neoplasia, auto-immune polyglandular syndrome) 1D. PLEASE SELECT THE BODY SYSTEMS AFFECTED BY THE DIAGNOSES LISTED IN SECTION 1B. …

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Transcription of VA Form 21-0960e-2

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