TVC 16-Statement of Attending Physician - Texas Veterans - tvc texas 2025

1. Click ‘Get Form’ to open the TVC 16 form in the editor.
2. Begin by entering the veteran's name, VA claim number or Social Security number, and the patient's name and address in the designated fields.
3. Fill in the treatment dates, ensuring accuracy for proper documentation.
4. Provide a detailed history of illness, including symptoms, complaints, and functional impairments in the respective section.
5. Document clinical findings such as laboratory results or X-ray findings. You can attach additional reports if necessary.
6. Complete the diagnosis section by indicating major diagnoses and their severity levels. Include any additional diagnoses as needed.
7. Answer questions regarding the patient's need for aid or attendance and housebound status by selecting 'Yes' or 'No'.
8. If applicable, complete the reverse side of the form detailing any restrictions and additional remarks about the patient’s condition.
9. Finally, ensure that you sign and date the form at the bottom before submitting it.

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