Va form 21 0960a 3 2026

1. Click ‘Get Form’ to open it in the editor.
2. 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 records.
3. In Section I, Diagnosis, indicate whether the veteran has been diagnosed with hypertension or isolated systolic hypertension by selecting 'Yes' or 'No.' If 'Yes,' provide relevant details such as ICD codes and dates of diagnosis.
4. Proceed to Section II, Medical History. Summarize the history of the veteran's hypertension condition and list any continuous medications being taken. Ensure that blood pressure readings are documented accurately.
5. In Section III, Other Pertinent Physical Findings, answer questions regarding any related scars or complications. Provide descriptions where necessary.
6. Complete Section IV by describing how hypertension impacts the veteran's ability to work, if applicable.
7. Finally, ensure that a physician certifies and signs the form in Section VI before submitting it through our platform for a streamlined process.

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