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PROVIDE ONLY DIAGNOSES THAT PERTAIN TO MS: - vba va 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the patient's name and Social Security number in the designated fields at the top of the form.
- In Section I, indicate whether the veteran has Multiple Sclerosis (MS) by selecting 'Yes' or 'No.' If 'Yes,' proceed to provide diagnoses related to MS, including ICD codes and dates of diagnosis for up to three conditions.
- Move to Section II and summarize the medical history of the veteran's MS, including onset and course. Specify dominant hand preference.
- Continue through Sections III to XII, carefully checking applicable symptoms, conditions, and functional impacts due to MS. Ensure all relevant details are filled out accurately.
- Finally, have a physician review and sign Section XVI, certifying that all information is accurate before submitting the form.
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Related links
Veterans Benefits Administration provides financial and other forms of assistance to Veterans, their dependents and caretakers. This page provides links to
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MS is diagnosed based on medical history and neurological exam. Symptoms We encourage Veterans to work closely with their VA MS care providers andRead more