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VA Form 0928c, NATIONAL VETERANS SUMMER SPORTS CLINIC

VA Form 0928c, NATIONAL VETERANS SUMMER SPORTS CLINIC 2025

VA Form 0928c, NATIONAL VETERANS SUMMER SPORTS CLINIC Preview on Page 1

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4.7 out of 5

56 votes

The document is a General Medical/Physical Exam Form for the National Veterans Summer Sports Clinic, which must be completed by an examining clinician. It outlines the required patient information, medical history, and documentation needed for participation in the clinic. The form emphasizes the importance of providing accurate health details to ensure patient safety during vigorous outdoor activities and includes privacy and respondent burden information.

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Click ‘Get Form’ to open the VA Form 0928c in the editor.
Begin by entering the patient's name and last four digits of their Social Security number at the top of the form. Ensure this information is accurate for proper identification.
Fill in the patient's contact details, including daytime and cell phone numbers, as well as the VAMC where they receive care. This helps maintain communication.
Complete the medical history section by providing details about primary disabilities or diagnoses, including any spinal cord injuries or amputations. Be thorough to ensure a comprehensive assessment.
Attach necessary documents such as recent EKGs for patients over 40, a list of current medications, and any relevant discharge summaries. Use our platform's upload feature for convenience.
Finally, have the examining clinician sign and print their name at the bottom of the form, ensuring all sections are filled out completely before submission.

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See more VA Form 0928c, NATIONAL VETERANS SUMMER SPORTS CLINIC versions

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Versions	Form popularity	Fillable & printable
2018	4.7 Satisfied (56 Votes)
2012	4.4 Satisfied (42 Votes)

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