Va form 21 0960q 1 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient's name and Social Security number in the designated fields at the top of the form.
3. In Section 1A, indicate whether the veteran has been diagnosed with chronic fatigue syndrome by selecting 'Yes' or 'No.' If 'Yes,' complete Item 1B by checking all applicable conditions and providing ICD codes and dates of diagnosis.
4. Proceed to Section 3A, where you will describe the history of the veteran's chronic fatigue syndrome. Be concise but thorough in your summary.
5. In Section 4, check any symptoms attributable to chronic fatigue syndrome. Provide descriptions for each checked condition in subsequent fields.
6. Finally, ensure that all sections are completed accurately before saving your work. Use our platform’s features to sign and distribute the form as needed.

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