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PERIPHERAL NERVES CONDITIONS (Not Including Diabetic ...
www.benefits.va.govApr 01, 2020 · PERIPHERAL NERVES CONDITIONS (Not Including Diabetic Sensory - Motor Peripheral Neuropathy) DISABILITY BENEFITS QUESTIONNAIRE. NAME OF PATIENT/VETERAN PATIENT/VETERAN'S SOCIAL SECURITY NUMBER. Note - The Veteran is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits.