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VA Form 21-0960K-2 - Veterans Benefits Administration

VA Form 21-0960K-2 - Veterans Benefits Administration 2025

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The document is a Gynecological Conditions Disability Benefits Questionnaire (VA Form 21-0960K-2) used by the U.S. Department of Veterans Affairs to assess veterans' gynecological health conditions for disability benefits. It includes sections for diagnosis, medical history, symptoms, treatment, and various gynecological conditions. The form requires detailed information from both the veteran and their physician regarding past and current health issues, treatments received, and the impact on the veteran's ability to work.

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Versions	Form popularity	Fillable & printable
2023	4.3 Satisfied (49 Votes)
2016	4.7 Satisfied (59 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the difference between VA Form 21 4142 and VA Form 21 4142a?

Complete VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) and VA Form 21-4142a, General Release for Medical Provider Information to the Department of Veterans Affairs (VA); submit completed forms with your claim and VA will attempt to obtain your records through our

Does a CP examiner fill out a DBQ?

Throughout the CP exam, the examiners will ask questions about the veterans disability and how it affects aspects of daily functioning. During this, the examiner might complete a VA Disability Benefits Questionnaire (DBQ).

Do VA doctors fill out DBQ?

Yes, VA doctors are allowed to fill out DBQs for veterans to support their VA disability claims for benefits.

How do I download VA forms?

How to download and open a VA.gov PDF form Click the Download VA form link for the form you want to fill out. The PDF will download to your Downloads folder. Open Adobe Acrobat Reader. From the File menu, choose Open. Go to your Downloads folder or the location on your device where you saved the PDF.

Who fills out DBQ for VA disability?

Use VA Form 21P-601 to apply for accrued benefits due the beneficiary but not paid prior to death. Each person claiming a share of accrued benefits must complete a separate VA Form 21P-601. Any available accrued benefits are payable to the first living person listed below.

Who completes DBQ?

DBQs can be filled out by licensed medical professionals. This includes both VA and private doctors. However, having a private physician complete a DBQ can be advantageous, especially if the Veteran faces delays in getting VA appointments.

Who can complete a VA DBQ?

While VA doctors can complete DBQs, many veterans turn to private providers for quicker, more detailed documentation tailored to VA standards. A private DBQ, when thoroughly completed, can often reduce the need for additional CP exams, saving you time and moving your claim forward faster.

VA Form 21-0960K-2 - Veterans Benefits Administration 2025

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How to modify VA Form 21-0960K-2 - Veterans Benefits Administration in PDF format online