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How to use or fill out VA Form 21-0960A-4 with Our Platform
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Click ‘Get Form’ to open it in the editor.
Begin by entering the patient/veteran's name and social security number at the top of the form. This information is crucial for identification purposes.
In Section I, indicate whether the veteran has been diagnosed with a heart condition by selecting 'Yes' or 'No.' If 'Yes,' proceed to list all applicable heart conditions in Item 1B, including their ICD codes and dates of diagnosis.
Move to Section II and provide a brief summary of the medical history related to the veteran's heart conditions. Be sure to include any medications required for control in Item 2E.
Continue through each section, ensuring that you complete all relevant fields regarding myocardial infarction, congestive heart failure, arrhythmias, and any surgical procedures undertaken.
Finally, review your entries for accuracy before submitting. Utilize our platform’s features to save your progress and ensure all necessary information is included.
Start using our platform today for free to streamline your form completion process!
Veterans determined to be Catastrophically Disabled are placed into Priority Group 4 unless eligible for a higher Priority Group based on other eligibility criteria, such as compensable service-connected disability, a former Prisoner of War, Medal of Honor, or Purple Heart recipient.
What is a priority 4 patient VA?
We may assign you to priority group 4 if either of these descriptions is true: Youre receiving VA aid and attendance or housebound benefits, or. You have received a VA determination of being catastrophically disabled.
What does priority group 4 mean?
Priority Group 4 Veterans receiving increased compensation or pension based on their need for regular Aid and Attendance or by reason of being permanently Housebound. Veterans determined by VA to be catastrophically disabled.
Will VA pay for a shower chair?
Veterans Affairs (VA) Assistance Veterans may be eligible for assistance with home safety equipment through the Department of Veterans Affairs (VA). Programs such as the Home Improvement and Structural Alteration (HISA) grant or VA healthcare benefits may cover shower chairs and other bathroom assistive devices.
How many priority groups are there in the VA?
Veterans who seek medical care from VA are assigned to one of eight priority groups on the basis of disability status and income, among other factors.
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Va 21096a 4 manualVa 21096a 4 instructionsVA benefitSubmit VA forms onlineSubstitute claimant VA FormVA Evidence Intake CenterINTENT VAVA Form 24-0296
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