Get 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient's name and Social Security number in the designated fields at the top of the form.
3. In Section I, indicate whether the veteran currently has or has had a skin condition by selecting 'Yes' or 'No'. If 'Yes', provide specific diagnoses and corresponding ICD codes for each skin condition listed.
4. Proceed to Section II to summarize the medical history of the veteran's skin conditions, including any scarring or disfigurement. Answer all relevant questions regarding treatments received in Section III.
5. In Section IV, detail any debilitating or non-debilitating episodes experienced due to skin conditions over the past year. Provide descriptions and frequency of these episodes.
6. Complete Sections V through VII by describing visible skin conditions, their impact on work ability, and any other pertinent findings. Ensure all sections are filled accurately before submission.

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