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Click ‘Get Form’ to open it in the editor.
Begin by entering your surname and given name(s) in the designated fields. If you have a DVA file number, include it as well.
In the injury or disease section, provide a detailed description of your condition, including signs and symptoms. Be specific about how your service may have contributed to this issue.
Indicate when the injury occurred and whether a Defence injury report has been completed. Attach any necessary documents if applicable.
Fill in details regarding your medical treatment, including the name of your treating practitioner and type of treatment received.
Complete the medical practitioner section by having your doctor summarize the diagnosis and attach relevant reports.
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May 6, 2021 Commissioner Saadi and the DVA staff implemented COVID-19 mitigation measures early in the pandemic minimizing negative health impacts on DVARead more
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