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Proof of these senior care needs is documented on a VA Form 21-2680 titled Examination for Housebound Status or Permanent Need for Aid and Attendance. These 3 simple pages can be completed by any Doctor or Nurse Practitioner. A common misunderstanding is that it must be done by a VA Physician, it does not.
Proof of these senior care needs is documented on a VA Form 21-2680 titled Examination for Housebound Status or Permanent Need for Aid and Attendance. These 3 simple pages can be completed by any Doctor or Nurse Practitioner. A common misunderstanding is that it must be done by a VA Physician, it does not.
VA Form 21-2680 is a form, filled out by a medical doctor, to support a claim for aid and attendance and/or housebound benefits filed with the Department of Veterans Affairs.
Veterans and Spouses would require assistance in performing their daily activities of living (ADLs), must have their primary care physician complete this form indicating the need for either Aid and Attendance (AA) or Housebound status.
NOTE: You may complete the form online or by hand.
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The paperless, electronic claims submission process on eBenefits allows you to fill out your application, upload all required documentation, and submit your claim with ease.
VA Form 21-2680 is a form, filled out by a medical doctor, to support a claim for aid and attendance and/or housebound benefits filed with the Department of Veterans Affairs.
Fill out VA Form 21-2680 (Examination for Housebound Status or Permanent Need for Regular Aid and Attendance) and mail it to the PMC for your state. You can have your doctor fill out the examination information section.

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