21-0960M-13 2025

Show details

4.9 out of 5

28 votes

The document is a Disability Benefits Questionnaire (DBQ) for neck (cervical spine) conditions, used by the U.S. Department of Veterans Affairs (VA) to evaluate veterans applying for disability benefits. It includes sections for medical history, diagnosis, range of motion measurements, pain assessment, muscle strength testing, and functional impact. The form requires detailed information from physicians regarding the veteran's cervical spine condition and its effects on their daily functioning and ability to perform occupational tasks.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to edit 21-0960M-13 in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling paperwork with our comprehensive and intuitive PDF editor is straightforward. Follow the instructions below to fill out 21-0960M-13 online quickly and easily:

Log in to your account. Log in with your credentials or create a free account to try the service prior to choosing the subscription.
Import a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit 21-0960M-13. Easily add and underline text, insert images, checkmarks, and icons, drop new fillable fields, and rearrange or delete pages from your paperwork.
Get the 21-0960M-13 completed. Download your updated document, export it to the cloud, print it from the editor, or share it with others using a Shareable link or as an email attachment.

Benefit from DocHub, the most straightforward editor to promptly handle your documentation online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

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 disability rating for cervicalgia?

Generally, VA disability ratings for neck pain and shoulder pain are based on the limitation of motion or the degree of ankylosis for the cervical spine. The severity of your neck pain can be rated from 10% to 100%, depending on the limitation in your range of motion (ROM).

How painful is cervicalgia?

The severity of the pain will vary depending on the extent of the injury, and most cases of cervicalgia only cause mild discomfort. Other symptoms of cervicalgia can include: stiffness in neck muscles. spasms in neck muscles.

What cervical problems qualify for disability?

Here are six of the most common causes of severe neck pain that may qualify you to receive benefits. Degenerative Disc Disease. This is a common cause of pain among people who seek Social Security benefits. Whiplash. Pinched Nerves. Herniated Discs. Infections. Inflammatory Disorders.

Is cervicalgia a disability?

Yes, you can get long term disability for symptoms of radiculopathy. The impact of radiculopathy can be profound.

What is the scale for neck disability?

The NDI has become a standard instrument for measuring self-rated disability due to neck pain and is used by both clinicians and researchers. Each of the 10 items scores from 0 to 5. The maximum score is 50. The obtained score can be multiplied by two to produce a percentage score.

Try more PDF tools