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 use or fill out VA Form 21-0960C with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open it in the editor.
Begin by entering the patient's name and Social Security number at the top of the form. This information is crucial for identifying the veteran's claim.
In Section I, indicate whether the veteran has been diagnosed with Parkinson's disease by selecting 'Yes' or 'No.' If applicable, provide the ICD code and date of diagnosis.
Proceed to Section II, where you will check all motor manifestations due to Parkinson's or its treatment. Be sure to assess each symptom carefully and mark the severity for each affected extremity.
In Section III, evaluate any mental manifestations related to Parkinson's. Again, check all that apply and note their severity.
Continue to Section IV for additional complications. Mark any relevant symptoms and provide details as necessary.
Finally, complete Sections V and VI by describing how Parkinson's impacts work ability and obtaining the physician’s certification with their signature and contact information.
Start using our platform today for free to streamline your form completion process!
When to use this form. Use VA Form 21-10210 to submit a formal statement to support your VA claimor the claim of another Veteran or eligible family member. People also sometimes call this statement a buddy statement.
How long is the VA taking to correct an error?
How long does it take VA to make a decision? Our goal for completing Higher-Level Reviews is 125 days. A review may take longer if we need to get records or schedule a new exam to correct an error.
Is VA correcting an error good or bad?
Keep in mind that while identifying an error can sound concerning, its an error made by the VA, not the veteran, so having the VA identify and fix their mistake is typically a positive development.
How do I release medical records to the VA?
Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal information may include your medical treatment, hospitalizations, psychotherapy, or outpatient care.
Can the VA deny a presumptive disability?
Yes, the VA can deny a presumptive disability claim, even if you have a recognized condition. However, this is an incredibly rare occurrence.
Related Searches
Va form 21 0960c pdfVa form 21 0960c sampleVa form 21 0960c 1VA FORM 21 0960c 10Printable va form 21 0960cVa form 21 0960n 2Va form 21 0960pVA Form 21-526EZ
Security and compliance
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
If the reviewer finds that we didnt help you get all the evidence you needed for your claim, this is called a duty-to-assist error. To fix this error, well close the review and open a new claim to gather the missing evidence. Well also send you a letter to tell you the steps well take to fix the error.
Related links
Parkinsons Disease
This document is the publicly released Parkinsons Disease Disability Benefits Questionnaire.
Cookie consent notice
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.
